Individual
J PATRICK LAVERY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 JOHN ST, STE M302, KALAMAZOO, MI 49007
(269) 341-7887
(269) 341-6178
Mailing address
601 JOHN ST, BOX 42, KALAMAZOO, MI 49007
(269) 341-7806
(269) 341-8743
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
4301052294
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1866350
—
MI
Enumeration date
01/25/2006
Last updated
07/08/2007
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