Provider Demographics
NPI:1356302665
Name:GARNO, RAYMOND LAWRENCE (DC)
Entity Type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:LAWRENCE
Last Name:GARNO
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 1:251 1/2 W CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:ADRIAN
Mailing Address - State:MI
Mailing Address - Zip Code:49221-2612
Mailing Address - Country:US
Mailing Address - Phone:517-265-5509
Mailing Address - Fax:517-264-2040
Practice Address - Street 1:251 1/2 W CHURCH ST
Practice Address - Street 2:
Practice Address - City:ADRIAN
Practice Address - State:MI
Practice Address - Zip Code:49221-2612
Practice Address - Country:US
Practice Address - Phone:517-265-5509
Practice Address - Fax:517-264-2040
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-28
Last Update Date:2007-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301005170111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1731000Medicaid
MI1731000Medicaid
MIT33075Medicare UPIN