Individual
MICHAEL R. CAVANAUGH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
105 INDEPENDENCE BLVD. STE.#3, LAFAYETTE, LA 70506-2702
(337) 984-5852
(337) 984-5851
Mailing address
105 INDEPENDENCE BLVD. STE.#3, LAFAYETTE, LA 70506-2702
(337) 984-5852
(337) 984-5851
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
15
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1951617
—
LA
01
—
F6802
BLUE CROSS BLUE SHIELD
LA
Enumeration date
05/04/2006
Last updated
07/08/2007
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