Individual
ANNA MIDDLETON LAVELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
200 E CHESTNUT ST, LOUISVILLE, KY 40202-1831
(502) 403-6567
Mailing address
218 SEQUOYA RD, LOUISVILLE, KY 40207-1659
(502) 541-5196
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
300456
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
3013947
KY
Other
Enumeration date
02/27/2019
Last updated
10/27/2023
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