Provider Demographics
NPI:1225155476
Name:LAVETTE, MICHELLE YVONNE
Entity Type:Individual
Prefix:PROF
First Name:MICHELLE
Middle Name:YVONNE
Last Name:LAVETTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2233 HEDGEROW RD UNIT H
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43220-6338
Mailing Address - Country:US
Mailing Address - Phone:614-316-5301
Mailing Address - Fax:
Practice Address - Street 1:536 ABLEMARLE CIR
Practice Address - Street 2:
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-4049
Practice Address - Country:US
Practice Address - Phone:740-363-5379
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide