Individual
ELIZABETH MUNTER LAVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8640 SUDLEY RD, SUITE 303, MANASSAS, VA 20110-4420
(703) 361-7778
(703) 361-1811
Mailing address
PO BOX 748613, ATLANTA, GA 30384-0447
(434) 295-1000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101255932
VA
390200000X
Student in an Organized Health Care Education/Training Program
0116022748
VA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
02/05/2009
Last updated
02/02/2024
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