Individual
JEANNE LAVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 NORTH ST, WALTON, NY 13856-1218
(607) 865-6579
Mailing address
37 DIETZ ST, ONEONTA, NY 13820-1882
(607) 432-2252
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
237914-1
NY
Other
Enumeration date
10/28/2009
Last updated
10/28/2009
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