Provider Demographics
NPI:1265443337
Name:LAVOIE, CHRISTOPHER M (DC)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:M
Last Name:LAVOIE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:733 CHAPIN ST
Mailing Address - Street 2:2ND FLR.
Mailing Address - City:LUDLOW
Mailing Address - State:MA
Mailing Address - Zip Code:01056-1900
Mailing Address - Country:US
Mailing Address - Phone:413-583-3308
Mailing Address - Fax:413-583-3428
Practice Address - Street 1:733 CHAPIN ST
Practice Address - Street 2:2ND FLR.
Practice Address - City:LUDLOW
Practice Address - State:MA
Practice Address - Zip Code:01056-1900
Practice Address - Country:US
Practice Address - Phone:413-583-3308
Practice Address - Fax:413-583-3428
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2104111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1611844Medicaid
MA2431829OtherAETNA
MAY36517OtherBC/BS
MA102033OtherCIGNA
MA402532OtherTUFTS
MA102033OtherCIGNA