Individual
DR. MATTHEW R LAVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1260 INNOVATION PKWY, #100, GREENWOOD, IN 46143-3602
(317) 884-5200
(317) 884-5360
Mailing address
8450 NORTHWEST BLVD., INDIANAPOLIS, IN 46278-1381
(317) 802-2000
(317) 802-2170
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01066671A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200973110
—
IN
Enumeration date
05/18/2007
Last updated
05/16/2024
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