Lavin, Roseann J

Lavin, Roseann J is an individual health care provider with primary practice located at 55 Lake Ave N Department Of General Medicine, Worcester MA 01655-0002. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Lavin, Roseann J can be contacted via phone (508) 856-2731.

Contact Information

Primary practice address
55 Lake Ave N Department Of General Medicine Worcester MA 01655-0002
Phone: (508) 856-2731
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 146887 Massachusetts

Profile Details

NPI number 1841264652
LBN Legal business name Lavin, Roseann J
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2006
Last updated Apr 25th, 2017 - about 8 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 1841264652 NPPES
Massachusetts MEDICAID 110015585A

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