Provider Demographics
NPI:1407805187
Name:GRIFFITH, LAWRENCE F JR (DC)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:F
Last Name:GRIFFITH
Suffix:JR
Gender:M
Credentials:DC
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Mailing Address - Street 1:10170 STAPLES MILL RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-3216
Mailing Address - Country:US
Mailing Address - Phone:804-501-2280
Mailing Address - Fax:804-501-2281
Practice Address - Street 1:10170 STAPLES MILL RD
Practice Address - Street 2:SUITE C
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23060-3216
Practice Address - Country:US
Practice Address - Phone:804-501-2280
Practice Address - Fax:804-501-2281
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-09
Last Update Date:2014-12-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0104556256111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAV02586Medicare UPIN
VA190001170Medicare ID - Type UnspecifiedPROVIDER NUMBER