Individual
DR. THOMAS FRANCIS LAVELLE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16253 CYPRESS CT, GRANGER, IN 46530-4889
(574) 273-3809
Mailing address
16253 CYPRESS CT, GRANGER, IN 46530-4889
(574) 273-3809
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
01022236A
IN
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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