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Individual

DR. KEITH P LAVALLIERE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
360 ROUTE 101, UNIT # 7, BEDFORD, NH 03110-5030
(603) 647-0600
(603) 647-0633
Mailing address
360 ROUTE 101, UNIT # 7, BEDFORD, NH 03110-5030
(603) 647-0600
(603) 647-0633

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8260908
NH

Other

Enumeration date
01/27/2009
Last updated
06/24/2016
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