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Individual

DANA D LAVERTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3855 W CHESTER PIKE STE 300, NEWTOWN SQUARE, PA 19073-2304
(484) 337-2585
Mailing address
3803 W CHESTER PIKE STE 160, NEWTOWN SQUARE, PA 19073-2336
(484) 337-1632

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP013483
PA
363LF0000X
Family Nurse Practitioner
SP013483
PA

Other

Enumeration date
05/08/2013
Last updated
02/19/2025
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