Individual provider · Type 1 NPI

David G. Lavelle, PHYSICIAN ASSISTANT

Medical Physician Assistant · Fort Campbell, KY

NPI number 1750476263 Active

Practice location

Blanchfield Army Community Hospital, 650 Joel Drive
Fort Campbell, KY 42223-5349

Call (270) 798-8372 Map

Fax (270) 956-0180

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X1052634 (TN)

Medical Physician Assistant: Definition to come...

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About NPI 1750476263

David G. Lavelle, PHYSICIAN ASSISTANT's National Provider Identifier is 1750476263, issued on Oct 3, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Campbell, KY. The record was last updated on May 29, 2025.