Organization
BLAISE LAVORGNA DC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLAISE MITCHELL LAVORGNA DC (PRESIDENT)
(410) 341-6520
Entity
Organization
Contact information
Practice address
32071 BEAVER RUN DRIVE, SUITE B, SALISBURY, MD 21804
(410) 341-6520
(410) 341-6526
Mailing address
32071 BEAVER RUN DR., SUITE B, SALISBURY, MD 21804
(410) 341-6520
(410) 341-6526
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1405PT
MD
Other
Enumeration date
11/07/2006
Last updated
10/04/2007
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