Individual
DR. IRA H. LAVOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1246 W CHESTER PIKE, SUITE 303, WEST CHESTER, PA 19382-5683
(610) 692-2605
(610) 692-7310
Mailing address
402 LIPPINCOTT DR, MARLTON, NJ 08053-4112
(856) 782-3300
(856) 504-8029
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MB69891
NJ
208000000X
Pediatrics Physician
Primary
25MB06989100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8643601
—
NJ
Enumeration date
06/01/2006
Last updated
05/26/2011
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