Individual
DR. LAUREEN D PAVTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
6638 E BASELINE RD, SUITE #103, MESA, AZ 85206-4432
(480) 985-7070
(480) 641-7048
Mailing address
6638 E BASELINE RD, SUITE #103, MESA, AZ 85206-4432
(480) 985-7070
(480) 641-7048
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
8169
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1940642
BC/BS
PA
01
—
665810
ACN GROUP
—
01
—
9788344
CIGNA
—
Enumeration date
07/31/2006
Last updated
01/12/2011
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