Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 000714 | CT |
N | 111NN1001X | Nutrition | 000714 | CT |
N | 111NX0100X | Occupational Health | 000714 | CT |
NPI | 1104961549 |
---|---|
Provider Name | Christopher Zbigniew Lachowski |
First Address | East Lyme, CT 06333-0369 |
Second Address | East Lyme, CT 06333-1730 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2007 |
Last Update Date | 29/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000714 | CHIROPRACTIC LICENSE (01) | CT |
U60638 | (02) | CT |