SAMUAL KELLY LAVIS

ARLINGTON, WA
NPI1508429093
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WA  OP61122427)
Enumeration Date2019-04-19
Last Update Date2022-11-16
Business Address
Dr. SAMUAL KELLY LAVIS DO
3823 172ND ST NE
ARLINGTON, WA 98223-7735
Phone number: 360-657-8700
Mailing Address
Dr. SAMUAL KELLY LAVIS DO
1400 E KINCAID ST
MOUNT VERNON, WA 98274-4127
Phone number:
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