Individual
MS. AVA H. LAVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
718 SMYTH RD, MANCHESTER, NH 03104-7004
(603) 624-4366
(603) 626-6557
Mailing address
503 HIGH ST, CANDIA, NH 03034-2763
(603) 483-5348
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
614589
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
227
LICENSED DIETITIAN
NH
01
—
614589
REGISTERED DIETITIAN
NH
Enumeration date
07/21/2006
Last updated
07/08/2007
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