MEDICARE: DR. LAWRENCE STEVEN SAEZ 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	1594	MD

General Provider Information

NPI Number	:	1932231164
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAWRENCE STEVEN SAEZ DC

Provider Business Mailing Address
First Line	:	6714 RITCHIE HWY
Second Line	:	SUITE I
City	:	GLEN BURNIE
State	:	MD
Zip	:	21061-2319
Country	:	US
Telephone Number	:	410-787-2229
Fax Number	:	410-787-0141

Provider Business Practice Location Address
First Line	:	6714 RITCHIE HWY
Second Line	:	SUITE I
City	:	GLEN BURNIE
State	:	MD
Zip	:	21061-2319
Country	:	US
Telephone Number	:	410-787-2229
Fax Number	:	410-787-0141

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

Provider Enumeration Date	:	03/12/2007
Last Update Date	:	07/08/2007

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