MEDICARE: LAWRENCE VINCENT HAMBRICK DC

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	3787	KY

General Provider Information

NPI Number	:	1447248612
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAWRENCE VINCENT HAMBRICK DC

Provider Business Mailing Address
First Line	:	4310 ALEXANDRIA PIKE
Second Line	:
City	:	COLD SPRING
State	:	KY
Zip	:	41076-1918
Country	:	US
Telephone Number	:	859-441-7333
Fax Number	:	859-441-5136

Provider Business Practice Location Address
First Line	:	4310 ALEXANDRIA PIKE
Second Line	:
City	:	COLD SPRING
State	:	KY
Zip	:	41076-1918
Country	:	US
Telephone Number	:	859-441-7333
Fax Number	:	859-441-5136

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

Provider Enumeration Date	:	10/11/2005
Last Update Date	:	10/28/2010

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Directions to “ LAWRENCE VINCENT HAMBRICK DC” Practice Location

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