Provider Demographics
NPI:1396917852
Name:BEAGLE, LAURIE L (DC)
Entity type:Individual
Prefix:DR
First Name:LAURIE
Middle Name:L
Last Name:BEAGLE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:LAURIE
Other - Middle Name:L
Other - Last Name:REINHART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:6002 CHESTNUT HILL RD
Mailing Address - Street 2:
Mailing Address - City:COOPERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18036-1812
Mailing Address - Country:US
Mailing Address - Phone:484-347-4129
Mailing Address - Fax:
Practice Address - Street 1:6002 CHESTNUT HILL RD
Practice Address - Street 2:
Practice Address - City:COOPERSBURG
Practice Address - State:PA
Practice Address - Zip Code:18036-1812
Practice Address - Country:US
Practice Address - Phone:484-347-4129
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-25
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA007448111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor