Individual
DR. RICHARD CECIL LAVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4201 PATTERSON AVE, MARYLAND PROFESSIONAL VOLUNTEER CORPS, BALTIMORE, MD 21215-2222
(717) 464-4876
Mailing address
300 WILLOW VALLEY LAKES DR, APT. C-124, WILLOW STREET, PA 17584-9442
(717) 464-4876
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
D0007766
MD
Other
Enumeration date
02/06/2007
Last updated
08/22/2012
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