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Mr. Lavelle Larue II
Private Vehicle in Calabasas, California
NPI 1750098281

Lavelle Larue II is a Private Vehicle based in Calabasas, CA. Lavelle Larue II practices in Calabasas, CA. The NPI Number for Lavelle Larue II is 1750098281 and holds a License No. 8TVP754 (California).

The current practice location address for Lavelle Larue II is 4500 Park Granada, Calabasas, CA and can be reached out via phone at 213-667-6944.

Location: 4500 Park Granada, Calabasas, CA, 91302-1663
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750098281
Provider Name
Lavelle Larue II
Credential
Provider Entity Type
Individual
Gender
Male
Address
4500 Park Granada, Calabasas, CA, 91302-1663
Phone Number
213-667-6944
Fax Number
Provider Enumeration Date
11/03/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
88-1668629 05 CA
institution
Provider Business Practice Location Address Details
Address
4500 Park Granada
City
Calabasas
State
California
Zip
91302-1663
Phone Number
213-667-6944
Fax Number
person
Provider Business Mailing Address Details
Address
4500 Park Granada
City
Calabasas
State
California
Zip
91302-1663
Phone Number
213-667-6944
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
8TVP754 (California)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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