Lavin, Michael

Lavin, Michael is an sole proprietor health care provider with primary practice located at 356 Loder St , South Waverly PA 18840-2611. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Lavin, Michael can be contacted via phone (570) 882-7414.

Contact Information

Primary practice address
356 Loder St South Waverly PA 18840-2611
Phone: (570) 882-7414
Fax: (570) 888-1204
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD072058L Pennsylvania

Profile Details

NPI number 1568426732
LBN Legal business name Lavin, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 14th, 2006
Last updated Feb 14th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568426732 NPPES
Pennsylvania MEDICAID 001815370
Pennsylvania Other 1439241

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