Individual provider · Type 1 NPI
Blaise Mitchell Lavorgna, DC
Chiropractor · Salisbury, MD
NPI number
1225033004
Active
Practice location
32071 Beaves Run Drive
Salisbury, MD 21804
Fax (410) 341-6526
Mailing address
P. O. Box 1859
Salisbury, MD 21802-1859
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 1405PT (MD) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1225033004
Blaise Mitchell Lavorgna, DC's National Provider Identifier is 1225033004, issued on Jun 17, 2005. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Salisbury, MD. The record was last updated on Apr 11, 2013.