Individual
DR. MARK F LAVALLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C., D.A.B.C.O.
Contact information
Practice address
261 RUTH ST N, SAINT PAUL, MN 55119-4337
(651) 714-4848
(651) 739-8452
Mailing address
PO BOX 280337, SAINT PAUL, MN 55128-9337
(651) 432-3806
(651) 739-6029
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
00-1753
MN
Other
Enumeration date
06/28/2006
Last updated
07/08/2007
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