| NPI | 1700414729 |
|---|---|
| Doing Business As | M LAVELLE |
| Entity Type | Organization |
| Authorized Contact | MONTE HAMLET Owner 727-134-5178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2020-03-27 |