Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lavar Gilliam, LMT

Individual provider Massage Therapist · NPI 1699637686

Lavar Gilliam, LMT is a Massage Therapist in Waldorf, Maryland. Practices as a sole proprietor. Licensed in Maryland and Virginia.

Licensed in
MD, VA
In the registry since
2025
Specialties on file
2
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

10383 Stone Pine Ave
Waldorf, MD 20603-5795
Phone: (240) 650-8967
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence M06984 (MD)
Massage Therapist Taxonomy 225700000X · Licence 0019010499 (VA)

Record details

NPI number1699637686
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedNovember 27, 2025
Last updated in NPPESNovember 27, 2025
Certification dateNovember 27, 2025
Mailing address1282 Smallwood Dr W # 193, Waldorf, MD 20603-4732

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