Individual
SANDRA WOLFE LAVELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
36100 EUCLID AVE STE 350, WILLOUGHBY, OH 44094-4489
(440) 449-1540
Mailing address
PO BOX 931596, CLEVELAND, OH 44193-1724
(440) 449-1540
(440) 460-2833
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN.271541
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN.271541
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN.271541
LICENSE
OH
Enumeration date
09/28/2011
Last updated
12/15/2025
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