National Provider Identifier
Mary Jo Lavilla, NP
Mary Jo Lavilla, NP is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Rochester, NY and a listed phone number of (585) 276-9980.
Profile Overview
- NPI
- 1891987426
- Provider Type
- Individual
- Primary Specialty
- Adult Health Nurse Practitioner
- Enumeration Date
- August 17, 2007
- Last Updated
- August 17, 2007
Practice Location
- 601 Elmwood Ave
- Box Med
- Rochester, NY 14642-0001
Phone: (585) 276-9980
Specialties
- Adult Health Nurse Practitioner (363LA2200X)
Full Record
- NPI
- 1891987426
- Entity Type
- Individual
- Last Name
- Lavilla
- First Name
- Mary Jo
- Credential
- NP
- Mailing Street Address
- 601 Elmwood Ave
- Mailing Address Line 2
- Box Med
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 276-9980
- Mailing Fax
- (585) 424-6961
- Practice Street Address
- 601 Elmwood Ave
- Practice Address Line 2
- Box Med
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 276-9980
- Practice Fax
- (585) 424-6961
- Enumeration Date
- August 17, 2007
- Last Updated
- August 17, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Adult Health Nurse Practitioner (363LA2200X)