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NPI Code Detail

MEDICARE: MEGAN EVITA LAVERY

MEDICARE: MEGAN EVITA LAVERY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist

General Provider Information

NPI Number : 1093001273
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN EVITA LAVERY
Provider Business Mailing Address
First Line : 825 EDEN RD # M61
Second Line :
City : LANCASTER
State : PA
Zip : 17601-4713
Country : US
Telephone Number : 609-658-2163
Fax Number :
Provider Business Practice Location Address
First Line : 825 EDEN RD
Second Line :
City : LANCASTER
State : PA
Zip : 17601-4713
Country : US
Telephone Number : 609-658-2163
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2011
Last Update Date : 06/01/2026

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Directions to “ MEGAN EVITA LAVERY ” Practice Location

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