Individual
DR. ZACHARY JOHN LAVIGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
346 COPENHILL AVE NE, ATLANTA, GA 30307-1904
(404) 997-2207
Mailing address
346 COPENHILL AVE NE, ATLANTA, GA 30307-1904
(404) 997-2207
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR009213
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CHIR009213
GA CHIROPRACTIC LICENSE
GA
Enumeration date
06/17/2014
Last updated
06/17/2014
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