Mark F. Lavallie, D.c.

NPI #1164662391 in Saint Paul, Minnesota

Provider Information

NPI Number: 1164662391
Entity Type: Organization
Organization Name: Mark F. Lavallie, D.c.
Primary Specialty: Chiropractor
Enumeration Date: Feb 27, 2009
Last Updated: Feb 27, 2009

Practice Location

Address: 261 RUTH ST N STE 108
City: Saint Paul
State: Minnesota
ZIP Code: 55119-4337
Phone: (651) 714-4848

Authorized Official

Name: DR. MARK F LAVALLIE, D.C.
Title: PRESIDENT
Phone: (651) 714-4848

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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