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Travis John Laverne, PA-C
Student in an Organized Health Care Education/Training Program in Marlton, New Jersey
NPI 1831795327

Travis John Laverne is a Student in an Organized Health Care Education/Training Program based in Marlton, NJ. Travis John Laverne practices in Marlton, NJ and has the professional credentials of PA-C. The NPI Number for Travis John Laverne is 1831795327 and holds a License No. (New Jersey).

The current practice location address for Travis John Laverne is 68 Picadilly Cir, Marlton, NJ and can be reached out via phone at 575-639-2227.

Location: 68 Picadilly Cir, Marlton, NJ, 08053-4233
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831795327
Provider Name
Travis John Laverne
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
68 Picadilly Cir, Marlton, NJ, 08053-4233
Phone Number
575-639-2227
Fax Number
Provider Enumeration Date
12/09/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
68 Picadilly Cir
City
Marlton
State
New Jersey
Zip
08053-4233
Phone Number
575-639-2227
Fax Number
person
Provider Business Mailing Address Details
Address
68 Picadilly Cir
City
Marlton
State
New Jersey
Zip
08053-4233
Phone Number
575-639-2227
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Pennsylvania)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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