MEDICARE: DR. CECIL LANCER WILLAFORD D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	2956	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	085E7	OTHER	NC	BCBS ID NUMBER

General Provider Information

NPI Number	:	1427002781
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CECIL LANCER WILLAFORD D.C.

Provider Business Mailing Address
First Line	:	PO BOX 309
Second Line	:
City	:	YOUNGSVILLE
State	:	NC
Zip	:	27596-0309
Country	:	US
Telephone Number	:	919-556-3333
Fax Number	:

Provider Business Practice Location Address
First Line	:	406 US 1 HWY
Second Line	:	SUITE C
City	:	YOUNGSVILLE
State	:	NC
Zip	:	27596-7847
Country	:	US
Telephone Number	:	919-556-3333
Fax Number	:	919-570-3133

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2006
Last Update Date	:	08/10/2010

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