Individual provider · Type 1 NPI

Lawrence Richard Petker, DC

Chiropractor · Ormond Beach, FL

NPI number 1275685281 Active

Practice location

50 S Perrott Dr
Ormond Beach, FL 32174-6227

Call (386) 615-0801 Map

Fax (386) 672-4811

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCH3821 (FL)

Chiropractor: 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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About NPI 1275685281

Lawrence Richard Petker, DC's National Provider Identifier is 1275685281, issued on Jan 18, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Ormond Beach, FL. The record was last updated on Jul 8, 2007.