Melinda Matherly Lavecchia, PA

NPI #1932625209 in Pooler, Georgia

Provider Information

NPI Number: 1932625209
Entity Type: Individual
Name: Melinda Matherly Lavecchia, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Aug 18, 2017
Last Updated: Jan 8, 2020

Practice Location

Address: 114 CANAL ST STE 503
City: Pooler
State: Georgia
ZIP Code: 31322
Phone: (912) 450-6300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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