National Provider Identifier
Lavora Dawn Bradley
Lavora Dawn Bradley is listed in the NPPES registry with a primary specialty of Voluntary or Charitable Agency in Elmira, NY and a listed phone number of (607) 259-2800.
Profile Overview
- NPI
- 1497365977
- Provider Type
- Individual
- Primary Specialty
- Voluntary or Charitable Agency
- Enumeration Date
- August 09, 2020
- Last Updated
- August 09, 2020
Practice Location
- 1305 Maple Ave
- Elmira, NY 14904-3045
Phone: (607) 259-2800
Specialties
- Voluntary or Charitable Agency (251V00000X)
Full Record
- NPI
- 1497365977
- Entity Type
- Individual
- Last Name
- Bradley
- First Name
- Lavora
- Middle Name
- Dawn
- Mailing Street Address
- 1305 Maple Ave
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14904-3045
- Mailing Country
- US
- Mailing Phone
- (607) 259-2800
- Practice Street Address
- 1305 Maple Ave
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14904-3045
- Practice Country
- US
- Practice Phone
- (607) 259-2800
- Enumeration Date
- August 09, 2020
- Last Updated
- August 09, 2020
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- August 09, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Voluntary or Charitable Agency (251V00000X)
- Other Identifiers
- 15433672 (TX, Id)