Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Daniel P Lavery, MD

Individual provider Family Medicine Physician · NPI 1083719975

Daniel P Lavery, MD is a Family Medicine Physician in Jefferson City, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1616 Southridge Dr Ste #203
Jefferson City, MO 65109-5677
Phone: (573) 659-7300
Fax: (573) 636-0555
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence R9J28 (MO)

Record details

NPI number1083719975
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 14, 2006
Last updated in NPPESApril 21, 2021
Certification dateApril 21, 2021

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