Provider Demographics
NPI:1689721292
Name:LAVOIE, PATRICE (DC)
Entity Type:Individual
Prefix:DR
First Name:PATRICE
Middle Name:
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 1:7750 E SANDALWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85250-7733
Mailing Address - Country:US
Mailing Address - Phone:480-217-0832
Mailing Address - Fax:480-922-1863
Practice Address - Street 1:8712 E VIA DE COMMERCIO STE 7
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-3362
Practice Address - Country:US
Practice Address - Phone:480-217-0832
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5598111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ62082Medicare ID - Type Unspecified