Organization
HAVELOCK CHIROPRACTIC CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WALTER LAUER DC (PRESIDENT OWNER)
(402) 467-5143
Entity
Organization
Contact information
Practice address
6132 HAVELOCK AVENUE, SUITE A, LINCOLN, NE 68507
(402) 467-5143
(402) 467-5145
Mailing address
6132 HAVELOCK AVENUE, SUITE A, LINCOLN, NE 68507
(402) 467-5143
(402) 467-5145
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
842
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09675
BLUE CROSS BLUE SHIELD
NE
05
—
10025110600
—
NE
01
—
27361
BLUE CROSS BLUE SHIELD (IDEUS)
—
01
—
4114
MIDLAND'S CHOICE
NE
Enumeration date
06/21/2006
Last updated
08/21/2012
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