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Individual

MATTHEW THOMAS LAVELLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNP

Contact information

Practice address
4815 LIBERTY AVE STE GR10, PITTSBURGH, PA 15224-2156
(412) 235-5874
(412) 235-5877
Mailing address
4815 LIBERTY AVE STE GR10, PITTSBURGH, PA 15224-2156
(412) 235-5874
(412) 235-5877

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
SPO15635
PA
364SA2200X
Adult Health Clinical Nurse Specialist
SPO15635
PA
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
SPO15635
PA

Other

Enumeration date
02/01/2016
Last updated
03/08/2024
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