Provider Demographics
NPI:1447233747
Name:LAKERNICK, ALBERT SCOTT (DC)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:SCOTT
Last Name:LAKERNICK
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 1:625 CHESTER PIKE
Mailing Address - Street 2:
Mailing Address - City:PROSPECT PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19076-1506
Mailing Address - Country:US
Mailing Address - Phone:610-534-4776
Mailing Address - Fax:610-534-7245
Practice Address - Street 1:625 CHESTER PIKE
Practice Address - Street 2:
Practice Address - City:PROSPECT PARK
Practice Address - State:PA
Practice Address - Zip Code:19076-1506
Practice Address - Country:US
Practice Address - Phone:610-534-4776
Practice Address - Fax:610-534-7245
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-22
Last Update Date:2010-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC004519L111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology