Individual
LAURA KAY LAVESPERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
345 BEVILLE RD STE 106, SOUTH DAYTONA, FL 32119-2147
(386) 760-7533
(386) 761-5868
Mailing address
345 BEVILLE RD STE 106, SOUTH DAYTONA, FL 32119-2147
(386) 760-7533
(386) 761-5868
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609083476
—
FL
Enumeration date
11/11/2019
Last updated
11/11/2019
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