Individual
LAVELLA RAYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EMT
Contact information
Practice address
7252 GREEN FARM RD, WEST BLOOMFIELD, MI 48322-2827
(248) 252-6164
Mailing address
7252 GREEN FARM RD, WEST BLOOMFIELD, MI 48322-2827
(248) 252-6164
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
2003553
MI
146N00000X
Basic Emergency Medical Technician
E3422719
MI
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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