WILLIAM T LAVELY

PARK VIEW PSYCHIATRIC SERVICES, PSC

Dr WILLIAM T LAVELY is a male medical professional, specializing in Nurse Practitioner. He graduated in 2013.

Contact

PARK VIEW PSYCHIATRIC SERVICES, PSC

105 CRESCENT AVE
SUITE 1
LOUISVILLE
KY
402061525

Tel: 8122821888

WILLIAM T LAVELY Information

Npi 1871927822
Pac Id 2860627635
Professional Enrollment Id I20131101001489
Last Name LAVELY
First Name WILLIAM
Middle Name T
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2013
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PARK VIEW PSYCHIATRIC SERVICES, PSC
Group Practice Pac Id 5698673101
Number Of Group Practice Members 10
Line 1 Street Address 105 CRESCENT AVE
Line 2 Street Address SUITE 1
Marker Of Address Line 2 Suppression
City LOUISVILLE
State KY
Zip Code 402061525
Phone Number 8122821888
Hospital Affiliation Ccn 1 150009
Hospital Affiliation Lbn 1 CLARK MEMORIAL HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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