Individual
DR. LAWRENCE OTTO MIETZELFELD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
55 S MAIN ST, ONEONTA, NY 13820-2516
(607) 432-4330
Mailing address
55 S MAIN ST, ONEONTA, NY 13820-2516
(607) 432-4330
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X003096
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C03096-7
WORKERS' COMPENSATION
NY
Enumeration date
09/23/2006
Last updated
07/08/2007
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