Individual provider · Type 1 NPI

Mark F. Lavallie, DC, D.A.B.C.O.

Chiropractor · St. Paul, MN

NPI number 1477581742 Active

Practice location

261 Ruth St N
St. Paul, MN 55119-4337

Fax (651) 739-8452

Mailing address

PO Box 280337
St. Paul, MN 55128-9337

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X00-1753 (MN)

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 1477581742

Mark F. Lavallie, DC, D.A.B.C.O.'s National Provider Identifier is 1477581742, issued on Jun 28, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in St. Paul, MN. The record was last updated on Jul 8, 2007.