MARIALYCE D LAVELLE

CULLMAN, AL
NPI1184610081
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AL  1-062407)
Enumeration Date2005-09-26
Last Update Date2007-07-08
Business Address
-- MARIALYCE D LAVELLE crna
1912 AL HIGHWAY 157
CULLMAN, AL 35058-0609
Phone number: 256-737-2882
Mailing Address
-- MARIALYCE D LAVELLE crna
PO BOX 1108
CULLMAN, AL 35056-1108
Phone number: 256-737-2882