Organization
DR. JONATHANS ACUPUNCTURE AND CHIROPRACTIC CTR. LLC
Active
Other names
Dr. Jonathan Lavelle
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN DAVID LAVELLE D.C. (OWNER)
(203) 546-8736
Entity
Organization
Contact information
Practice address
10 COLONIAL RD, NEW FAIRFIELD, CT 06812-5023
(203) 546-8736
(203) 546-8736
Mailing address
10 COLONIAL RD, NEW FAIRFIELD, CT 06812-5023
(203) 546-8736
(203) 775-0057
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
000925
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992935829
SELF NPI
CT
Enumeration date
10/01/2009
Last updated
09/09/2013
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