Individual
DR. DAVID MICHAEL LAVELY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4009 BRASSFIELD DR, ROCKY MOUNT, NC 27803-1529
(252) 451-2270
(252) 451-2931
Mailing address
4009 BRASSFIELD DR, ROCKY MOUNT, NC 27803-1529
(252) 451-2270
(252) 451-2931
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1334
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890904E
—
NC
Enumeration date
06/01/2005
Last updated
07/08/2007
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