Individual
DR. ROBERT WILLIAM LAVELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
7300 NEW LAGRANGE RD, LOUISVILLE, KY 40222-4812
(502) 426-4110
(502) 426-3767
Mailing address
7300 NEW LAGRANGE RD, LOUISVILLE, KY 40222-4812
(502) 426-4110
(502) 426-3767
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3568
KY
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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