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Contact Information

LASER SPORT & SPINE, INC.
1303 W MAIN ST
RICHMOND, VA23220-4851
 Phone: 804-254-5765
 Fax: 804-254-5763
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

111NR0400X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for LASER SPORT & SPINE, INC.

NPI Number 1861816563
LBN Legal business name LASER SPORT & SPINE, INC.
Authorized official MILAN LASSITER - (OWNER/CHIROPRACTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/15/2014
Last updated 02/15/2014 - About 12 years ago
Identifiers
VA License # 0104-555801
VA Other 1972714079 DOCTOR'S PRIOR INDIVIDUAL NPI #
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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