Individual
MARTA MAKUSZEWSKI LAVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2600 TUSCARAWAS ST W STE 600, CANTON, OH 44708-4676
(330) 453-4300
Mailing address
2600 TUSCARAWAS ST W STE 600, CANTON, OH 44708-4676
(330) 453-4300
(330) 453-3617
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35.148498
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2210424
—
WA
Enumeration date
07/01/2016
Last updated
09/13/2023
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