# MARY ANN LAVERY MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750560728
- **Authorized official:** MARY ANN LAVERY MD (OWNER)
- **Authorized official phone:** (440) 871-8933

## Contact information

- **Practice address:** 27059 CENTER RIDGE RD, WESTLAKE, OH 44145-4064
- **Practice address phone:** (440) 871-8933
- **Practice address fax:** (440) 899-9462
- **Mailing address:** 27059 CENTER RIDGE RD, WESTLAKE, OH 44145-4064
- **Mailing address phone:** (440) 871-8933
- **Mailing address fax:** (440) 899-9462

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/26/2007
- **Last updated:** 11/06/2008
