Individual
DR. JOHN PAUL LAVELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MB, BCH, FRCSI
Contact information
Practice address
3801 MIRANDA AVE, B3-117 BLDG 100 UROLOGY (#112), PALO ALTO, CA 94304-1207
(650) 493-5000
(650) 849-0319
Mailing address
3801 MIRANDA AVE, B3-117 BLDG 100 UROLOGY (#112), PALO ALTO, CA 94304-1207
(650) 493-5000
(650) 849-0319
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
200000870
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89126KY
—
NC
Enumeration date
05/27/2005
Last updated
09/15/2008
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