Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC-005304-L | PA |
N | 111NX0100X | Occupational Health | AJ--005304 | PA |
NPI | 1881664761 |
---|---|
Provider Name | Lawrence Scott Herman |
First Address | Waynesboro, PA 17268-2198 |
Second Address | Waynesboro, PA 17268-2198 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2006 |
Last Update Date | 07/01/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U51571 | (02) | PA |