Individual
MS. AVA H. LAVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
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
Update your record
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