Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | X005184 | NY |
N | 111NI0013X | Independent Medical Examiner | X005184 | NY |
NPI | 1114102142 |
---|---|
Provider Name | Dr. Ronald Gregory Lanfranchi |
First Address | Lincroft, NJ 07738-1360 |
Second Address | New York, NY 10128-0636 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2008 |
Last Update Date | 09/01/2008 |