Walter H Lavere JR.

NPI #1720310717 in Port Huron, Michigan

Provider Information

NPI Number: 1720310717
Entity Type: Individual
Name: Walter H Lavere JR.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Health Educator
Enumeration Date: Feb 2, 2010
Last Updated: Feb 2, 2010

Practice Location

Address: 1001 MILITARY ST
City: Port Huron
State: Michigan
ZIP Code: 48060-5416
Phone: (810) 985-5168

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Health Educator	174H00000X	Primary

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