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Search › Indiana › 2251S0007X

Jacob Laverman

NPI 1528525920 · on the registry since 2019

Practice

Address
1001 E 17th St
Bloomington, IN 47408
Phone
(712) 461-0244
Organisation at this address
Athletico, Ltd.
The Trustees Of Indiana University
Inferred from a shared address, not stated in the registry.
Clinicians at this address
34

Registry record

Primary taxonomy
2251S0007X
2251S0007X
Also registered as
2255A2300X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-08-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana