Provider Demographics
NPI:1699836312
Name:KLOSKY, LAWRENCE HOWARD (DC)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:HOWARD
Last Name:KLOSKY
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 1:18441 NW 2ND AVE
Mailing Address - Street 2:SUITE # 220
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33169-4517
Mailing Address - Country:US
Mailing Address - Phone:305-652-8401
Mailing Address - Fax:305-652-8413
Practice Address - Street 1:18441 N.W 2ND AVE.
Practice Address - Street 2:SUITE # 220
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33169-4537
Practice Address - Country:US
Practice Address - Phone:305-652-8401
Practice Address - Fax:305-652-8413
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0002993111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor