Individual
JEFFREY A LAVANIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 SOMERSET AVE, WINDBER, PA 15963-1331
(814) 467-3000
Mailing address
208 BUCKEYE DR, SOMERSET, PA 15501-9355
(814) 445-3329
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD043484E
PA
Other
Enumeration date
07/08/2006
Last updated
03/17/2018
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