Basic Information
| Provider Information | |||||||||
| NPI: | 1407805187 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GRIFFITH | ||||||||
| FirstName: | LAWRENCE | ||||||||
| MiddleName: | F | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | D.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10170 STAPLES MILL RD | ||||||||
| Address2: | SUITE C | ||||||||
| City: | GLEN ALLEN | ||||||||
| State: | VA | ||||||||
| PostalCode: | 230603216 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8045012280 | ||||||||
| FaxNumber: | 8045012281 | ||||||||
| Practice Location | |||||||||
| Address1: | 10170 STAPLES MILL RD | ||||||||
| Address2: | SUITE C | ||||||||
| City: | GLEN ALLEN | ||||||||
| State: | VA | ||||||||
| PostalCode: | 230603216 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8045012280 | ||||||||
| FaxNumber: | 8045012281 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/09/2006 | ||||||||
| LastUpdateDate: | 12/30/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 111N00000X | 0104556256 | VA | Y | Chiropractic Providers | Chiropractor |
No ID Information.