Provider Demographics
NPI:1194791301
Name:THOMPSON, CHRIS LAVORIS (DC)
Entity type:Individual
Prefix:DR
First Name:CHRIS
Middle Name:LAVORIS
Last Name:THOMPSON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4898 SAND STONE LN
Mailing Address - Street 2:#304
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33417-7551
Mailing Address - Country:US
Mailing Address - Phone:561-478-2200
Mailing Address - Fax:
Practice Address - Street 1:828 W PEMBROKE RD
Practice Address - Street 2:SUITE 2
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-2157
Practice Address - Country:US
Practice Address - Phone:954-454-3810
Practice Address - Fax:954-964-7210
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-27
Last Update Date:2011-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8823111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor