Individual
JENNIFER ELIZABETH LAVIOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1503 LANSDOWNE AVE STE 3002, DARBY, PA 19023-1308
(610) 237-4995
Mailing address
281 ORIOLE DR, HORSEHEADS, NY 14845-1621
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP030256
PA
Other
Enumeration date
09/04/2024
Last updated
10/26/2024
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