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Individual

LAVELLA ELIZABETH BURNS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
150 1ST AVE NW, EPHRATA, WA 98823-1602
(509) 398-5877
Mailing address
215 F ST SE, EPHRATA, WA 98823-1943
(509) 398-5877

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
WA

Other

Enumeration date
04/18/2007
Last updated
07/08/2007
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