Provider Demographics
NPI:1992855209
Name:LAHODA, JOHN JOSEPH (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:JOSEPH
Last Name:LAHODA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:LAHODA
Other - Middle Name:CHIROPRACTIC
Other - Last Name:CEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:67 ALMSHOUSE RD
Mailing Address - Street 2:
Mailing Address - City:RICHBORO
Mailing Address - State:PA
Mailing Address - Zip Code:18954-1105
Mailing Address - Country:US
Mailing Address - Phone:215-364-0364
Mailing Address - Fax:215-364-3397
Practice Address - Street 1:67 ALMSHOUSE RD
Practice Address - Street 2:
Practice Address - City:RICHBORO
Practice Address - State:PA
Practice Address - Zip Code:18954-1105
Practice Address - Country:US
Practice Address - Phone:215-364-0364
Practice Address - Fax:215-364-3397
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC002846L111NI0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0900XChiropractic ProvidersChiropractorInternist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA465303Medicare PIN