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Individual

CLAIRE S LAVAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
2090 SUGARLOAF PKWY STE 115, LAWRENCEVILLE, GA 30045-9402
(678) 883-3218
Mailing address
1960 SPECTRUM CIR SE APT 235, MARIETTA, GA 30067-1661

Taxonomy

Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
Primary
CHIRO09081
GA
111NN0400X
Neurology Chiropractor
CHIRO09081
GA
111NN1001X
Nutrition Chiropractor
CHIRO09081
GA
111NP0017X
Pediatric Chiropractor
CHIRO09081
GA
111NR0400X
Rehabilitation Chiropractor
CHIRO09081
GA
111NS0005X
Sports Physician Chiropractor
CHIRO09081
GA

Other

Enumeration date
11/08/2011
Last updated
01/08/2013
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