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Rusty Lavender
NPI 1487311874 · on the registry since 2021 · sole proprietor
Practice
- Address
- 4310 S Ridgeway Rd
Ringwood, IL 60072 - Phone
- (815) 219-8033
Registry record
- Primary taxonomy
- Chiropractor
111N00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-11-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois