Individual provider · Type 1 NPI

Lavar Gilliam, LMT

Massage Therapist · Waldorf, MD

NPI number 1699637686 Active

Practice location

10383 Stone Pine Ave
Waldorf, MD 20603-5795

Call (240) 650-8967 Map

Mailing address

1282 Smallwood Dr W # 193
Waldorf, MD 20603-4732

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist 225700000X0019010499 (VA)
Massage Therapist Primary 225700000XM06984 (MD)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1699637686

Lavar Gilliam, LMT's National Provider Identifier is 1699637686, issued on Nov 27, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Waldorf, MD. The record was last updated on Nov 27, 2025.