Individual
DR. LAVELL TYRE HANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3016 WILLIAMS DR STE 203, FAIRFAX, VA 22031-4616
(571) 531-0825
Mailing address
3016 WILLIAMS DR STE 203, FAIRFAX, VA 22031-4616
(571) 531-0825
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104557660
VA
Other
Enumeration date
10/12/2020
Last updated
12/06/2024
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