Individual
ASHLYN LAVENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
148 WEISENBERGER RD STE C, GLUCKSTADT, MS 39110-7994
(601) 790-1445
Mailing address
686 RATLIFF FERRY RD, CANTON, MS 39046
(601) 572-0272
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1374
MS
Other
Enumeration date
03/27/2023
Last updated
08/14/2024
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