Provider Demographics
NPI:1073681151
Name:THORPE, LAWRENCE IRWIN (DC)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:IRWIN
Last Name:THORPE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 BERRY ROAD
Mailing Address - Street 2:
Mailing Address - City:ROCKWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:15557-6936
Mailing Address - Country:US
Mailing Address - Phone:814-926-2362
Mailing Address - Fax:
Practice Address - Street 1:240 CENTER STREET
Practice Address - Street 2:
Practice Address - City:MEYERSDALE
Practice Address - State:PA
Practice Address - Zip Code:15552-1371
Practice Address - Country:US
Practice Address - Phone:814-634-0888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC003444L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA486206Medicare ID - Type Unspecified