Dr. Lance Richard Formolo , DC
Chiropractor • Buffalo, NY
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Lance Formolo has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Lance Formolo, DC was a registered Chiropractor practicing in Buffalo, NY. Throughout an active medical career spanning 13 years, Dr. Formolo provided care at the practice location at 3495 BAILEY AVE until profile deactivation on 2020-03-09.
Practice Location & Contact Primary Location
3495 Bailey Ave
Buffalo, NY 142151129
Specialty Benchmarks & Practice Insights
Comparative analytics for Chiropractor in Buffalo, NY
Practicing in Buffalo, NY (4796 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 111N00000X
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Pharmacist
Physician Assistant, Registered Pharmacist
Anesthesiology - Pain Medicine
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant
Chiropractor
Doctor of Chiropractic
Chiropractor
Doctor of Chiropractic, Master of Science
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on March 09, 2020
NPI status registered as active in NPPES database
Registered at 3495 BAILEY AVE, BUFFALO, NY 142151129 (Tel: 7168626060)
Registered at 3495 BAILEY AVE, BUFFALO, NY 142151129 (Tel: 7168626060)
Recorded as LANCE FORMOLO, D.C.
Chiropractor (License #2301009409 in MI)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
3495 Bailey Ave
Buffalo, NY 142151129
Phone: 7168626060
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