Individual
KYLE PATRICK LAVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 HOSPITAL RD, LEOMINSTER, MA 01453-2253
(978) 466-4220
(978) 466-4240
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
261801
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110103546A
—
MA
Enumeration date
07/19/2010
Last updated
04/26/2016
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