Active NPI
Lawrence Patrick Lawicki, DC
- Chiropractor
- Glen Allen, VA
National Provider Identifier
1427269273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104556535
- Practice address
- 201 Concourse Blvd
Suite 102
Glen Allen, VA 23059-5640 - Phone
- (804) 527-0092
- Fax
- (804) 527-0211
- NPI assigned
- May 24, 2007
- Last updated
- Dec 9, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104556535 | VA | Primary |
Addresses
Primary practice location
201 Concourse Blvd
Suite 102
Glen Allen, VA 23059-5640
Mailing address
201 Concourse Blvd
Suite 102
Glen Allen, VA 23059-5640
Phone (804) 527-0092
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0104556535 | Other | VA | VA STATE MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
590 Hwy 35
Suite 1
Red Bank, NJ 07701-5067
Phone (732) 796-0333
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104556535 | VA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Jersey Spine & Disc Center,LLC | Chiropractor | Current | Accepting new patients |
| Richmond Chiropractic Center, LLC | Chiropractor | Past | Accepting new patients |
| Central Virginia Disc Center | Chiropractor | Past | Accepting new patients |
| Be Your Best Chiropractic, LLC | Chiropractor | Past | Accepting new patients |
Locations
590 Highway 35
Ste 1
Red Bank, NJ 07701
Phone (732) 796-0333
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Little Silver, NJ
- NPI 1821395781
-
- Chiropractor
- Glen Allen, VA
- NPI 1689885808
-
- Chiropractor
- Red Bank, NJ
- NPI 1770972002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228780800000",
"number": "1427269273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 CONCOURSE BLVD",
"address_2": "SUITE 102",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230595640",
"telephone_number": "804-527-0092",
"fax_number": "804-527-0211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 CONCOURSE BLVD",
"address_2": "SUITE 102",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230595640",
"telephone_number": "804-527-0092",
"fax_number": "804-527-0211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWICKI",
"first_name": "LAWRENCE",
"middle_name": "PATRICK",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-24",
"last_updated": "2008-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104556535",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VA STATE MEDICAL LICENSE",
"identifier": "0104556535",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glen Allen, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.