Organization
CORNERSTONE CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL E LAVIN D.C. (PRESIDENT)
(804) 744-8710
Entity
Organization
Contact information
Practice address
13700 GENITO RD, SUITE 1, MIDLOTHIAN, VA 23112-4007
(804) 744-8710
(804) 744-8711
Mailing address
13700 GENITO RD, SUITE 1, MIDLOTHIAN, VA 23112-4007
(804) 744-8710
(804) 744-8711
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104002022
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
272807
BLUE CROSS BLUE SHIELD
VA
Enumeration date
11/06/2006
Last updated
08/22/2020
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