Provider Demographics
NPI:1932279460
Name:SPEIR, LAWRENCE E JR (DC)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:E
Last Name:SPEIR
Suffix:JR
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 1:7 N 5TH ST
Mailing Address - Street 2:
Mailing Address - City:ALBION
Mailing Address - State:IL
Mailing Address - Zip Code:62806-1021
Mailing Address - Country:US
Mailing Address - Phone:618-445-3455
Mailing Address - Fax:618-445-3411
Practice Address - Street 1:7 N 5TH ST
Practice Address - Street 2:
Practice Address - City:ALBION
Practice Address - State:IL
Practice Address - Zip Code:62806-1021
Practice Address - Country:US
Practice Address - Phone:618-445-3455
Practice Address - Fax:618-445-3411
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2009-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-010124111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL694802OtherHEALTHLINK
IL694802OtherHEALTHLINK