Individual
CARL E LAVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
13700 GENITO RD, SUITE 1, MIDLOTHIAN, VA 23112-4007
(804) 744-8710
(804) 744-8711
Mailing address
1911 OLD HUNDRED RD, MIDLOTHIAN, VA 23114-7015
(804) 794-8513
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104-002022
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
272807
BLUE CROSS BLUE SHIELD
VA
Enumeration date
10/24/2006
Last updated
07/08/2007
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