Individual
DR. LAWRENCE MICHAEL WILNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3 CORPORATE DRIVE, SUITE 160, SHELTON, CT 06484
(203) 929-5500
(203) 926-1220
Mailing address
3 CORPORATE DRIVE, SUITE 160, SHELTON, CT 06484
(203) 929-5500
(203) 926-1220
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
000862
CT
111NR0400X
Rehabilitation Chiropractor
000862
CT
225700000X
Massage Therapist
Primary
000862
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050000862CT01
ANTHEM BCBS
CT
01
—
CV2880
HEALTHNET LANDMARK
CT
Enumeration date
01/08/2007
Last updated
09/11/2025
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