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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LAVAR GILLIAM, LMT

Active Sole Proprietor

LAVAR GILLIAM, LMT is a Massage Therapist healthcare provider located in WALDORF, Maryland. NPI 1699637686 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · WALDORF, MD

Registration Details

NPI Number
1699637686
Provider Type
Individual
Gender
Male
NPI Issued
Nov 27, 2025 (0.68758297777207 yrs)
Last Updated
Nov 27, 2025
Licenses
0019010499 (VA)
M06984 (MD)
Sole Proprietor
Yes

Practice Information

Address
10383 STONE PINE AVE
WALDORF, MD, 206035795
Browse MD providers · Browse ZIP 20603
Phone
2406508967
Primary Specialty
Massage Therapist
225700000X
Additional Specialty
Massage Therapist

Other Massage Therapist Providers in WALDORF, MD

Name Credential NPI
KIMBERLY SPIVEY 1487144804
MS. LINDA RENEE SCOTT 1457968174
DIONDELLA BLANTON 1184226250
LYNTON M MCCRAE RMP 1922856210
DIANNA CAROLE WILLIAMS MASSAGE THERAPIST 1134935364
JAMILAH CHAMBERS 1275340440
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.