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Individual

DR. ANDREW C LAVEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1442 N 31ST ST, SHEBOYGAN, WI 53081-3061
(920) 452-5400
(920) 452-1920
Mailing address
1442 N 31ST ST, SHEBOYGAN, WI 53081-3061
(920) 452-5400
(920) 452-1920

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2707035
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30254400
WI
Enumeration date
02/28/2006
Last updated
03/07/2023
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