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Individual
DANIEL LAVERTY
Active
Individual
DANIEL LAVERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041455072
IL
367500000X
Certified Registered Nurse Anesthetist
28290977A
IN
Other
Enumeration date
07/31/2023
Last updated
10/31/2025
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