| Doctor Name: | MR. PATRICK JAMES LAVERTY |
| NPI Number: | 1124120233 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CNMT RSO |
| License Number: | RHN1344 |
| Business Practice Address: | 511 S Harbor Blvd Ste E La Habra, CA - 906319375 |
| Business Phone Number: | 5629052244 |
| Business Fax Number: | |
| Mailing Address: | 511 S Harbor Blvd Ste E, LA HABRA |
| State: | CA |
| Postal Code: | 906319375 |
| Phone Number: | 5629052244 |
| Fax Number: | |
| NPI Enumeration Date: | 09/01/2006 |
| NPI Last Update Date: | 06/07/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471N0900X |
| License Number: | RHN1344 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Nuclear Medicine Technology |
| Taxonomy Definition: | |