Individual
AMY L LAVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-0985
(602) 933-2423
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1813
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86056420
AZ
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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