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Individual

JAMES LAVELLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
41831
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
08475512
CO
Enumeration date
02/27/2006
Last updated
12/18/2012
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