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Individual

MILAN LASSITER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1303 WEST MAIN STREET, RICHMOND, VA 23220
(804) 254-5765
(804) 254-5763
Mailing address
1303 WEST MAIN STREET, RICHMOND, VA 23220
(804) 254-5765
(804) 254-5763

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104-555801
VA
111NS0005X
Sports Physician Chiropractor
0104-555801
VA

Other

Enumeration date
05/24/2007
Last updated
01/27/2012
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