Provider Demographics
NPI:1720194137
Name:LAURINO FAMILY CHIROPRACTIC,LLC
Entity Type:Organization
Organization Name:LAURINO FAMILY CHIROPRACTIC,LLC
Other - Org Name:RICHARD A. LAURINO DC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:LAURINO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:7772-449-5020
Mailing Address - Street 1:690 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DALLASTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17313
Mailing Address - Country:US
Mailing Address - Phone:717-244-9500
Mailing Address - Fax:717-244-9899
Practice Address - Street 1:690 E MAIN ST
Practice Address - Street 2:
Practice Address - City:DALLASTOWN
Practice Address - State:PA
Practice Address - Zip Code:17313
Practice Address - Country:US
Practice Address - Phone:717-244-9500
Practice Address - Fax:717-244-9899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-21
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1617089OtherHIGHMARK
02461900OtherCBC
1617089OtherHIGHMARK