Individual
DR. ANTHONY LAVACCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
55 S MAIN ST, SUITE 241, NAPERVILLE, IL 60540-5372
(312) 246-6683
(312) 236-3257
Mailing address
30 N MICHIGAN AVE, SUITE 2010, CHICAGO, IL 60602-3402
(312) 236-3253
(312) 236-3257
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
—
IL
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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