Individual
DR. RICHARD ANTHONY LAVELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
695 ORANGE CENTER RD, ORANGE, CT 06477-1830
(203) 795-4117
Mailing address
695 ORANGE CENTER RD, ORANGE, CT 06477-1830
(203) 795-4117
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
19373
CT
Other
Enumeration date
03/11/2010
Last updated
03/11/2010
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