Lavin, Shane

Lavin, Shane is an individual health care provider with primary practice located at 3900 Lakeville Hwy Mob-2, Petaluma CA 94954. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Lavin, Shane can be contacted via phone (707) 765-3800.

Contact Information

Primary practice address
3900 Lakeville Hwy Mob-2 Petaluma CA 94954
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 178185 California

Profile Details

NPI number 1538584982
LBN Legal business name Lavin, Shane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2014
Last updated Aug 11th, 2022 - about 3 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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