Individual ProviderLawrence DoddChiropractorChiropractic ProvidersPractice Address309-199 W. Millbrook Rd, Raleigh, NC 27609-4385(919) 788-8881PECOS EnrollmentBased on the most recent information from CMS, provider Lawrence Dodd does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:51 AM.Profile DetailsProvider ID1447244744Provider TypeIndividualFull NameDodd, LawrenceTitleDr.CredentialD.C.GenderMaleSole ProprietorNoEnumeration Date9/1/2005Last Updated7/12/2007Contact InformationPractice LocationPractice Address309-199 W. Millbrook Rd, Raleigh, NC 27609-4385Phone(919) 788-8881Fax(919) 788-8818Mailing LocationMailing Address309-199 W. Millbrook Rd, Raleigh, NC 27609-4385Phone(919) 788-8881Fax(919) 788-8818Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicense2172North CarolinaProvider IdentifiersIDDescriptionIssuerID0201UDescriptionOtherIssuerGROUP BCBS NUMBERNorth CarolinaID7908316DescriptionMedicaidIssuerUnlistedNorth CarolinaID08316DescriptionOtherIssuerBCBS INDIVIDUAL NUMBERNorth CarolinaID790201UDescriptionMedicaidIssuerUnlistedNorth Carolina