Individual
LAVELLE ISREAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP-AC
Contact information
Practice address
6621 FANNIN ST, HOUSTON, TX 77030-2399
(832) 826-0970
Mailing address
6621 FANNIN ST, HOUSTON, TX 77030-2358
(832) 826-0970
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
1088287
TX
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
1088287
TX
Other
Enumeration date
07/22/2022
Last updated
05/05/2025
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