Individual
KIERA LAVALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
750 BRUNSWICK AVE, TRENTON, NJ 08638-4143
(609) 394-6000
Mailing address
750 BRUNSWICK AVE, TRENTON, NJ 08638-4143
(609) 394-6000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00816500
NJ
Other
Enumeration date
11/10/2023
Last updated
12/01/2025
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