Provider Demographics
NPI:1093950024
Name:SEALEY, LAWSON VICTOR (DC)
Entity Type:Individual
Prefix:DR
First Name:LAWSON
Middle Name:VICTOR
Last Name:SEALEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:LAWSON
Other - Middle Name:
Other - Last Name:SEALEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:3010 PARK NEWPORT APT 202
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-5835
Mailing Address - Country:US
Mailing Address - Phone:949-929-2657
Mailing Address - Fax:
Practice Address - Street 1:20151 SW BIRCH ST STE 200
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-0776
Practice Address - Country:US
Practice Address - Phone:949-929-2657
Practice Address - Fax:949-851-5901
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-04
Last Update Date:2015-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31008111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor