Individual
DR. WILLIAM F LAVELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6620 FLY ROAD, SUITE 200, EAST SYRACUSE, NY 13057
(315) 464-4472
(315) 464-5222
Mailing address
6620 FLY ROAD, SUITE 200, EAST SYRACUSE, NY 13057
(315) 464-4472
(315) 464-5222
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
249656
NY
207XS0117X
Orthopaedic Surgery of the Spine Physician
2496561
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03018619
—
NY
Enumeration date
03/26/2007
Last updated
11/30/2009
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