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Individual

DR. JOHN M LAVELLE

Active
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Individual

DR. JOHN M LAVELLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2816
TN
208VP0014X
Interventional Pain Medicine Physician
2816
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3376145
TN
Enumeration date
06/26/2008
Last updated
07/11/2025
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