Healthcare Provider Details

I. General information

NPI: 1477420545
Provider Name (Legal Business Name): LAKELAND CHIROPRACTIC & ACUPUNCTURE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2025
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 SKYLINE DR
RINGWOOD NJ
07456-2036
US

IV. Provider business mailing address

130 SKYLINE DR
RINGWOOD NJ
07456-2036
US

V. Phone/Fax

Practice location:
  • Phone: 973-657-2006
  • Fax: 973-657-2007
Mailing address:
  • Phone: 973-657-2006
  • Fax: 973-657-2007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL J LAVECCHIA
Title or Position: CHIROPRACTOR
Credential: DC
Phone: 845-596-6950