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Contact Information

TRAVIS J LAVERNE, PA-C
100 NJ-73
VOORHEES TOWNSHIP, NJ08043
 Phone: 856-282-1338
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for TRAVIS J LAVERNE · (Male)

NPI # 1831795327
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 12/09/2020
Last updated 06/06/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MP00616900
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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