Individual
MARY JOAN LAVELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
116 ASH GAP RD, SPRING BROOK TOWNSHIP, PA 18444-6286
(570) 903-4480
Mailing address
116 ASH GAP RD, SPRING BROOK TOWNSHIP, PA 18444-6286
(570) 903-4480
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN539170
PA
Other
Enumeration date
11/30/2024
Last updated
11/30/2024
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