ELLIE ELIZABETH LAVERY
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1396618674- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 10015 GABLE MANOR CT, POTOMAC, MD, 208545000
- Phone
- (240) 994-9853
Specialties & Taxonomies
Physician Assistant
Primary
All Addresses
MAILING
10015 GABLE MANOR CT
POTOMAC, MD, 208545000