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Organization

JOHN P LAVERY, MD, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN P LAVERY MD (OWNER)
(972) 747-0709
Entity
Organization

Contact information

Practice address
997 RAINTREE CIR, SUITE 120, ALLEN, TX 75013-4949
(972) 747-0709
(972) 747-7991
Mailing address
997 RAINTREE CIR, SUITE 120, ALLEN, TX 75013-4949
(972) 747-0709
(972) 747-7991

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
45D1021094
TX

Other

Enumeration date
05/13/2014
Last updated
06/13/2014
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