Individual
MS. CHRISTINE LAVERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
CMR 411, APO/AE, CO 09112
(719) 453-8555
Mailing address
CMR 411, APO, AE 09112
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA0007338
CO
363AM0700X
Medical Physician Assistant
Primary
PA60322120
WA
Other
Enumeration date
10/25/2012
Last updated
01/23/2024
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