Individual
TAYLOR COVINGTON LAVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1901 TATE SPRINGS RD, LYNCHBURG, VA 24501-1109
(434) 200-3101
Mailing address
503 CHURCH ST APT 3, LYNCHBURG, VA 24504-1339
(804) 627-2851
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110-005941
VA
Other
Enumeration date
10/02/2017
Last updated
10/02/2017
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