LAVAR GILLIAM LMT NPI 1699637686

NPI Information

  • NPI: 1699637686
  • Provider Name: LAVAR GILLIAM, LMT
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 10383 STONE PINE AVE
    WALDORF, MD
    ZIP 20603
  • Phone: (240) 650-8967

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NPI Details

Lavar Gilliam, LMT is a massage therapist in Waldorf, MD. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Lavar Gilliam, LMT NPI is 1699637686. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10383 STONE PINE AVE
WALDORF, MD
ZIP 20603-795
Phone: (240) 650-8967

The enumeration date for this NPI number is 11/27/2025 and was last updated on 11/27/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage Therapist0019010499VIRGINIANo
2225700000XMassage TherapistM06984MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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