Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lyceum Longevity Center PLLC

Organization Chiropractor · NPI 1831666585

Lyceum Longevity Center PLLC is a Chiropractor in Philadelphia, Pennsylvania. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6062 Ridge Ave
Philadelphia, PA 19128-1647
Phone: (215) 508-5555
Fax: (215) 508-5555
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X
Chiropractor Taxonomy 111N00000X
Diagnostic Radiology Physician Taxonomy 2085R0202X

Record details

NPI number1831666585
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Pezzello — Co-Founder · (215) 508-5555
NPI enumeratedOctober 31, 2018
Last updated in NPPESOctober 4, 2019
Mailing address6062 Ridge Ave, Philadelphia, PA 19128-1647

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