Individual
DR. LARRY L. STINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C., F.A.C.O.
Contact information
Practice address
117 REDWOOD DR, FREDERICKSBURG, VA 22408-1945
(540) 898-4100
(540) 898-9004
Mailing address
117 REDWOOD DR, FREDERICKSBURG, VA 22408-1945
(540) 898-4100
(540) 898-9004
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
0104000612
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
207991
ANTHEM
VA
Enumeration date
07/14/2005
Last updated
12/16/2023
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