Individual
ERIN V LAVELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-4279
Mailing address
4500 S LANCASTER RD # 116A, DALLAS, TX 75216-7167
(214) 857-4279
(214) 857-3983
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9109298
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016709500
—
FL
Enumeration date
04/17/2013
Last updated
03/18/2022
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