NPI 1467654608 DR. LANCE RICHARD FORMOLO D.C. BUFFALO NY. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Dr. Lance Richard Formolo - NPI: 1467654608

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: DR. LANCE RICHARD FORMOLO
NPI Number: 1467654608
Entity Type Code: Individual (1)
Gender: M
Credentials: D.C.
License Number: 2301009409
Business Practice Address: 3495 Bailey Ave
Buffalo, NY - 142151129
Business Phone Number: 7168626060
Business Fax Number: 7168627248
Mailing Address: 3495 Bailey Ave,
BUFFALO
State: NY
Postal Code: 142151129
Phone Number: 7168626060
Fax Number: 7168627248
NPI Enumeration Date: 06/01/2007
NPI Last Update Date: 11/22/2010
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 111N00000X
License Number: 2301009409
Healthcare Provider Taxonomy:
(Secondary)
Y
State: MI
Taxonomy Type: Chiropractic Providers
Taxonomy Classification: Chiropractor
Taxonomy Specialization:
Taxonomy Definition:
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.


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