Organization
FORESIGHT CHIROPRACTIC PLC
Active
Other names
Foresight Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRA KEITH LAVENDER D.C. (MEMBER)
(480) 325-6977
Entity
Organization
Contact information
Practice address
2915 E BASELINE RD, SUITE 126, GILBERT, AZ 85234-2425
(480) 325-6977
(602) 296-0487
Mailing address
2915 E BASELINE RD, SUITE 126, GILBERT, AZ 85234-2425
(480) 325-6977
(602) 296-0487
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0932280
BLUE CROSS BLUE SHIELD
AZ
01
—
0945100
BLUE CROSS BLUE SHIELD
AZ
01
—
1245414564
DR. WILLIAM JARMAN NPI #
AZ
01
—
1346422086
DR. KEITH LAVENDER NPI #
AZ
Enumeration date
07/29/2006
Last updated
10/25/2011
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