Individual
LAVINA MARIE BEVERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9465 COUNSELORS ROW STE 200, INDIANAPOLIS, IN 46240-3817
(317) 245-4800
(317) 429-1762
Mailing address
9465 COUNSELORS ROW STE 200, INDIANAPOLIS, IN 46240-3817
(317) 245-4800
(317) 429-1762
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
24-018306-1
IN
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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