Individual provider · Type 1 NPI
Lavora Dawn Bradley
Voluntary or Charitable Agency · Elmira, NY
NPI number
1497365977
Active
Practice location
1305 Maple Ave
Elmira, NY 14904-3045
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Voluntary or Charitable Agency Primary | 251V00000X | None listed |
Voluntary or Charitable Agency: Definition to come...
About NPI 1497365977
Lavora Dawn Bradley's National Provider Identifier is 1497365977, issued on Aug 9, 2020. The primary taxonomy on file is Voluntary or Charitable Agency (251V00000X), and the practice location is in Elmira, NY. The record was last updated on Aug 9, 2020.