Individual
MR. JAMES MICHAEL LAVELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
810 BELLEFONTE PRINCESS RD, ASHLAND, KY 41101-2272
(606) 921-6805
(606) 921-6332
Mailing address
810 BELLEFONTE PRINCESS RD, ASHLAND, KY 41101-2272
(606) 921-6805
(606) 921-6332
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
KY 537
KY
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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