Individual
CHRISTOPHER MICHAEL LAVELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
777 S OYSTER BAY RD, BETHPAGE, NY 11714-1032
(516) 433-4029
Mailing address
33 LINWOOD PL, MASSAPEQUA PARK, NY 11762-1912
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
046613
NY
Other
Enumeration date
02/14/2008
Last updated
02/22/2010
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