| NPI | 1437511284 |
|---|---|
| Other Name | MATT LAVELLE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery (Licence: FL ME156182) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 307861) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2022-09-02 |