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1154534006
KENNETH GORDON LAVELLE
PHILADELPHIA, PA
NPI
1154534006
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: PA MD429880)
Enumeration Date
2007-05-08
Last Update Date
2013-06-06
Business Address
Dr. KENNETH GORDON LAVELLE M.D.
111 S 11TH ST
PHILADELPHIA, PA 19107-4824
Phone number: 215-955-6000
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Mailing Address
Dr. KENNETH GORDON LAVELLE M.D.
111 S 11TH ST
PHILADELPHIA, PA 19107-4824
Phone number: 215-955-6000
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