NPI 1104900703

Carl E Lavin, DC

Practitioner Chiropractor Midlothian, VA

Practice location

Address: 13700 Genito Rd Suite 1, Midlothian, VA 23112-4007
Phone: (804) 744-8710
Fax: (804) 744-8711
Mailing address: 1911 Old Hundred Rd, Midlothian, VA 23114-7015

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 0104-002022 (VA)

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Registry record

NPI: 1104900703
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Oct 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.