Individual
KATHLEEN LAVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-2976
(202) 877-7000
Mailing address
6874F BRINDLE HEATH WAY, ALEXANDRIA, VA 22315-5804
(703) 719-0405
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN57172
DC
Other
Enumeration date
01/24/2006
Last updated
07/09/2007
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