Individual
DR. PAMELA SUE LAVRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 W MAIN ST, WYCKOFF, NJ 07481-1439
(201) 847-9320
Mailing address
500 W MAIN ST, WYCKOFF, NJ 07481-1439
(201) 847-9320
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
042.0040017-COMP
VT
207L00000X
Anesthesiology Physician
Primary
25MA06387100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7035-306
—
NJ
Enumeration date
12/13/2006
Last updated
05/01/2026
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