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Individual
DR. LAVERN A PHELPS JR.
Active
Individual
DR. LAVERN A PHELPS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
2697
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
231027
CHIROCARE
MN
01
—
62523PL
BCBSMN
MN
Enumeration date
01/19/2007
Last updated
07/08/2007
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