Individual
WALTER H LAVERE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 MILITARY ST, PORT HURON, MI 48060-5416
(810) 985-5168
(800) 248-1568
Mailing address
1001 MILITARY ST, PORT HURON, MI 48060-5416
(810) 985-5168
(800) 248-1568
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
02/02/2010
Last updated
02/02/2010
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