Provider Demographics
NPI:1235336041
Name:CAFFERY, LAUREN (DC)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:
Last Name:CAFFERY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:LAUREN
Other - Middle Name:
Other - Last Name:RENDFREY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:1000 E WALNUT ST
Mailing Address - Street 2:SUITE 502
Mailing Address - City:PERKASIE
Mailing Address - State:PA
Mailing Address - Zip Code:18944-5444
Mailing Address - Country:US
Mailing Address - Phone:267-354-1734
Mailing Address - Fax:
Practice Address - Street 1:1000 E WALNUT ST
Practice Address - Street 2:SUITE 502
Practice Address - City:PERKASIE
Practice Address - State:PA
Practice Address - Zip Code:18944-5444
Practice Address - Country:US
Practice Address - Phone:267-354-1734
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-27
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009807111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor