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LAVAR GILLIAM LMT
NPI 1699637686
Massage Therapist in Waldorf, MD

Active since November 27, 2025
10383 STONE PINE AVE, WALDORF, MD 20603(240) 650-8967 Get Directions Write a Review

NPPES record last updated: November 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lavar Gilliam Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAVAR GILLIAM LMT (NPI 1699637686) is an individual massage therapist in Waldorf, Maryland, licensed in Maryland (M06984) and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1699637686
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameLAVAR GILLIAMCredential: LMT
Location Address10383 STONE PINE AVEWaldorf, MD 20603-5795
Mailing Address1282 Smallwood Dr W # 193Waldorf, MD 20603-4732
Phone(240) 650-8967
Sole ProprietorYes
Enumeration DateNovember 27, 2025
NPPES CertifiedNovember 27, 2025
✔ NPI 1699637686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
Licenses✔ Licensed in MD · M06984✔ Licensed in VA · 0019010499
Definition
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.
10383 STONE PINE AVE, Waldorf, MD 20603
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lavar Gilliam's NPI number?

The NPI number for Lavar Gilliam is 1699637686. It was assigned to this individual provider in the NPPES registry on November 27, 2025.

Where is Lavar Gilliam located?

Lavar Gilliam practices at 10383 Stone Pine Ave, Waldorf, MD 20603. The listed phone number is (240) 650-8967.

What is Lavar Gilliam's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Lavar Gilliam was last updated on November 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.