Provider Demographics
NPI:1730072406
Name:HAMILTON, LAVEETA C
Entity type:Individual
Prefix:
First Name:LAVEETA
Middle Name:C
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LAVEETA
Other - Middle Name:C
Other - Last Name:HAMILTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:310 CROSSCREEK DR
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:TX
Mailing Address - Zip Code:75407-2828
Mailing Address - Country:US
Mailing Address - Phone:402-214-5597
Mailing Address - Fax:
Practice Address - Street 1:310 CROSSCREEK DR
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:TX
Practice Address - Zip Code:75407-2828
Practice Address - Country:US
Practice Address - Phone:402-214-5597
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-02
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No171M00000XOther Service ProvidersCase Manager/Care Coordinator