Individual
JULIANNE ELIZABETH LAVELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
780 ALBANY ST, BOSTON, MA 02118-2524
(857) 654-1000
Mailing address
780 ALBANY ST, BOSTON, MA 02118-2524
(857) 654-1000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2303106
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2303106
MA
Other
Enumeration date
01/07/2016
Last updated
04/10/2019
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