Ira Keith Lavender in Gilbert - Chiropractor

Ira Keith Lavender - NPI 1346422086

Ira Keith Lavender is a Chiropractor in Gilbert, Arizona. Ira Keith Lavender practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Ira Keith Lavender is 1346422086. The last update date is 2012-10-30.

Ira Keith Lavender's current location address is 2915 E Baseline Rd Ste 126, Gilbert, Arizona. You can contact this provider via phone number 4803256977 and fax number 6022960487. The mailing address for Ira Keith Lavender is 2915 E Baseline Rd Ste 126, Gilbert, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Ira Keith Lavender
Address 2915 E Baseline Rd Ste 126, Gilbert, Arizona
Phone Number 4803256977
Fax Number 6022960487
Sole Proprietor Y
Credentials D.C.

NPI Number Detail

NPI Number 1346422086
Provider Enumeration Date 2007-12-05
Last Updated Date 2012-10-30

Provider Mailing Address Detail

Address 2915 E Baseline Rd Ste 126
City Gilbert
State Arizona (AZ)
Post Code 852342475
Phone Number 4803256977
Fax Number 6022960487

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 6015
Definition:
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 inte

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
63087 AZ MEDICARE GROUP
1669486908 AZ MEDICARE GROUP NPI
AZ0932280 AZ BLUE CROSS BLUE SHIELD

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FAQs about Ira Keith Lavender

What is the unique identifier code issued to Ira Keith Lavender by the Centers for Medicare & Medicaid Services (CMS)?

The Ira Keith Lavender has been assigned the NPI (National Provider Identifier) 1346422086. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Ira Keith Lavender's facilities are geographically located?

The facilities of Ira Keith Lavender are physically situated at the following location: 2915 E Baseline Rd Ste 126, Gilbert, AZ, 852342475.

What is Ira Keith Lavender's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Ira Keith Lavender is Chiropractor, and the taxonomy code that categorizes this field of expertise is 111N00000X.

When was the Ira Keith Lavender's 1346422086 issued?

The Ira Keith Lavender's 1346422086 was issued on 2007-12-05.

As of what date were the details pertaining to Ira Keith Lavender last refreshed?

The information related to the Ira Keith Lavender, including its address, specialty, and other relevant details, was last updated on 2012-10-30.

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