MEDICARE: DR. LILLIAN LINNELL PURVIS D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	0104556152	VA

General Provider Information

NPI Number	:	1831137553
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LILLIAN LINNELL PURVIS D.C.

Provider Business Mailing Address
First Line	:	1456 SYCAMORE MEWS CIR
Second Line	:
City	:	MIDLOTHIAN
State	:	VA
Zip	:	23113-4375
Country	:	US
Telephone Number	:	804-378-1119
Fax Number	:

Provider Business Practice Location Address
First Line	:	3076 STONY POINT RD
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23235-2349
Country	:	US
Telephone Number	:	804-323-1589
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2006
Last Update Date	:	07/08/2007

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