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Dr. Lawrence Wilson Burdette III, DC
Chiropractor in Fairmont, West Virginia
NPI 1811047814

Lawrence Wilson Burdette III is a Chiropractor based in Fairmont, WV. Lawrence Wilson Burdette III practices in Fairmont, WV and has the professional credentials of DC. The NPI Number for Lawrence Wilson Burdette III is 1811047814 and holds a License No. 800 (West Virginia).

The current practice location address for Lawrence Wilson Burdette III is 618 Fairmont Ave, Fairmont, WV and can be reached out via phone at 304-365-5555 and via fax at 304-363-4008.

Location: 618 Fairmont Ave, Fairmont, WV, 26554-5104
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811047814
Provider Name
Lawrence Wilson Burdette III
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
618 Fairmont Ave, Fairmont, WV, 26554-5104
Phone Number
304-365-5555
Fax Number
304-363-4008
Provider Enumeration Date
01/11/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3810001785 05 WV
institution
Provider Business Practice Location Address Details
Address
618 Fairmont Ave
City
Fairmont
State
West Virginia
Zip
26554-5104
Phone Number
304-365-5555
Fax Number
304-363-4008
person
Provider Business Mailing Address Details
Address
618 Fairmont Ave
City
Fairmont
State
West Virginia
Zip
26554-5104
Phone Number
304-365-5555
Fax Number
304-363-4008
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
800 (West Virginia)
Definition
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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