Individual
LISA P LAVELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
660 1ST AVE FL 3, NEW YORK, NY 10016
(212) 263-9531
Mailing address
660 1ST AVE FL 3, NEW YORK, NY 10016-3295
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
294782
NY
Other
Enumeration date
05/15/2016
Last updated
09/13/2018
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