Individual
ALYSSA LAVENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
222 CRYSTAL GROVE BLVD, LUTZ, FL 33548-6460
(813) 892-8990
Mailing address
222 CRYSTAL GROVE BLVD, LUTZ, FL 33548-6460
(813) 892-8990
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-150599
MI
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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