Individual provider · Type 1 NPI

Misty Dawn Lagasse, DC

Chiropractor · Port Orange, FL

NPI number 1457677635 Active

Practice location

4705 S Clyde Morris Blvd
Port Orange, FL 32129-4103

Call (386) 763-2718 Map

Fax (386) 763-2719

Mailing address

14 Lisbon St
St. Augustine, FL 32080-9715

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCH10209 (FL)

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 1457677635

Misty Dawn Lagasse, DC's National Provider Identifier is 1457677635, issued on Apr 13, 2010. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Port Orange, FL. The record was last updated on May 28, 2013.