Individual
KEVIN LAVERY
Active
Individual
KEVIN LAVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301055930
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180019354
RAILROAD MEDICARE
—
01
—
180C846310
BCBSM
MI
01
—
180F373640
BCBSM
MI
01
—
180H149970
BCBSM
MI
05
—
3037800
—
MI
05
—
3222862
—
MI
05
—
3287606
—
MI
Enumeration date
06/14/2005
Last updated
09/20/2018
Update your record
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