Individual
LISSETTE LAVETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10631 S 51ST ST STE 1, PHOENIX, AZ 85044-5225
(480) 398-4280
(844) 526-2649
Mailing address
PO BOX 50218, PHOENIX, AZ 85076-0218
(480) 398-4280
(844) 526-2649
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
01/03/2022
Last updated
01/03/2022
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