Matthew T Lavelle, PA

NPI #1306882345 in Lenoir City, Tennessee

Provider Information

NPI Number
1306882345
Entity Type
Individual
Name
Matthew T Lavelle, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Jun 20, 2006
Last Updated
Apr 27, 2021

Practice Location

Address
423 MEDICAL PARK DR
Address 2
SUITE 100
ZIP Code
37772-5640
Phone
(865) 271-6600

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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