Lavery, Michelle A

Lavery, Michelle A is an individual health care provider with primary practice located at 41 Mall Rd , Burlington MA 01805-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Lavery, Michelle A can be contacted via phone (781) 744-8000.

Contact Information

Primary practice address
41 Mall Rd Burlington MA 01805-0001
Phone: (781) 744-8000
Fax: (781) 744-5429
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 168736 Massachusetts

Profile Details

NPI number 1194872127
LBN Legal business name Lavery, Michelle A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Dec 7th, 2010 - about 14 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 1194872127 NPPES
Massachusetts MEDICAID 0701815

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