Individual
DR. JEFFREY MICHAEL LAVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2785 WHITE BEAR AVE N, SUITE 108, MAPLEWOOD, MN 55109-1307
(651) 415-0418
(651) 415-0106
Mailing address
2785 WHITE BEAR AVE N, SUITE 108, MAPLEWOOD, MN 55109-1307
(651) 415-0418
(651) 415-0106
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3635
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00D05SP
BCBS
MN
Enumeration date
11/28/2006
Last updated
08/05/2010
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