Individual
EDDIE LAVALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8855 ANNAPOLIS RD STE 109, LANHAM, MD 20706-2936
(301) 957-5824
(240) 468-7255
Mailing address
8855 ANNAPOLIS RD STE 109, LANHAM, MD 20706-2936
(301) 957-5824
(240) 468-7255
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
R4226R
MD
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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