Lavine, David M.

Lavine, David M. is an sole proprietor health care provider with primary practice located at 800 8Th Ave Suite 200, Fort Worth TX 76104-2619. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Lavine, David M. can be contacted via phone (817) 335-6457.

Contact Information

Primary practice address
800 8Th Ave Suite 200 Fort Worth TX 76104-2619
Fax: (817) 334-0491
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X E0082 Texas

Profile Details

NPI number 1407816408
LBN Legal business name Lavine, David M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 24th, 2006
Last updated Jul 8th, 2007 - about 19 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 1407816408 NPPES
Texas Other 4019441 AETNA
Texas Other 00N791 AETNA

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