Individual
JAMIE LAVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1809 BOOTH QUILLEN RD, ASHLAND, KY 41102-9726
(317) 871-1633
Mailing address
1809 BOOTH QUILLEN RD, ASHLAND, KY 41102-9726
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
141747
—
Other
Enumeration date
08/01/2014
Last updated
08/01/2014
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