Lavery, Laurie Lynn

Lavery, Laurie Lynn is an individual health care provider with primary practice located at 6315A Jahnke Rd , Richmond VA 23225-4142. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Lavery, Laurie Lynn can be contacted via phone (562) 677-2414.

Contact Information

Primary practice address
6315A Jahnke Rd Richmond VA 23225-4142
Phone: (562) 677-2414
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101243925 Virginia
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 0101243925 Virginia

Profile Details

NPI number 1275507402
LBN Legal business name Lavery, Laurie Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Jan 22nd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275507402 NPPES
Virginia MEDICAID 1275507402

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