Individual
DR. NATHAN RICHARD LAUBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2369 ROUTE 715, TANNERSVILLE, PA 18372
(570) 629-9507
(272) 200-2977
Mailing address
2369 ROUTE 715, TANNERSVILLE, PA 18372
(570) 629-9507
(272) 200-2977
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC009427
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108885
OPER. ENGINEERS LOCAL 825
PA
01
—
7640701000
IND BLUE CROSS
PA
01
—
LA1802442
BLUE CROSS BLUE SHIELD
PA
Enumeration date
04/21/2006
Last updated
10/19/2023
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