| Doctor Name: | JEANNE LAVELL |
| NPI Number: | 1003142894 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 237914-1 |
| Business Practice Address: | 130 North St Walton, NY - 138561218 |
| Business Phone Number: | 6078656579 |
| Business Fax Number: | |
| Mailing Address: | 37 Dietz St, ONEONTA |
| State: | NY |
| Postal Code: | 138201882 |
| Phone Number: | 6074322252 |
| Fax Number: | |
| NPI Enumeration Date: | 10/28/2009 |
| NPI Last Update Date: | 10/28/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WW0101X |
| License Number: | 237914-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Women's Health Care, Ambulatory |
| Taxonomy Definition: | |