Provider Demographics
NPI:1669419040
Name:LAPAGLIA, CHRISTINE TRACY (DC, CA)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:TRACY
Last Name:LAPAGLIA
Suffix:
Gender:F
Credentials:DC, CA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 HILLCREST RD
Mailing Address - Street 2:
Mailing Address - City:WOODCLIFF LAKE
Mailing Address - State:NJ
Mailing Address - Zip Code:07677-7814
Mailing Address - Country:US
Mailing Address - Phone:201-391-4854
Mailing Address - Fax:201-391-4854
Practice Address - Street 1:595 CHESTNUT RIDGE RD
Practice Address - Street 2:SUITE 7A
Practice Address - City:WOODCLIFF LAKE
Practice Address - State:NJ
Practice Address - Zip Code:07677-7663
Practice Address - Country:US
Practice Address - Phone:201-391-2285
Practice Address - Fax:201-391-2287
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00627300111N00000X
NJ25MZ00046800171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered111N00000XChiropractic ProvidersChiropractor
Not Answered171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ087208Medicare ID - Type UnspecifiedCHIROPRACTOR