Healthcare Provider Details

I. General information

NPI: 1679890487
Provider Name (Legal Business Name): LAWRENCE A QUELL D.C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2010
Last Update Date: 12/21/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4105 E FLORIDA AVE STE 207
DENVER CO
80222-3641
US

IV. Provider business mailing address

4105 E FLORIDA AVE STE 207
DENVER CO
80222-3641
US

V. Phone/Fax

Practice location:
  • Phone: 303-692-8655
  • Fax: 303-648-5775
Mailing address:
  • Phone: 303-692-8655
  • Fax: 303-648-5775

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number6218
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: