Provider Demographics
NPI:1497969364
Name:PRECIPUO, LAWRENCE (DC)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:
Last Name:PRECIPUO
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 1:750 S MILITARY TRL
Mailing Address - Street 2:SUITE D AND E
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33415-3963
Mailing Address - Country:US
Mailing Address - Phone:561-687-2677
Mailing Address - Fax:561-687-2676
Practice Address - Street 1:750 S MILITARY TRL
Practice Address - Street 2:SUITE D AND E
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33415-3963
Practice Address - Country:US
Practice Address - Phone:561-687-2677
Practice Address - Fax:561-687-2676
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2011-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH6216111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCH6216OtherSTATE LICENSE