Lavine, Kory Joshua

Lavine, Kory Joshua is an individual health care provider with primary practice located at 1020 N Mason Rd Div Im Cardiology, Ste 100, Saint Louis MO 63141-6666. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology. Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology is his primary health care specialty. Lavine, Kory Joshua can be contacted via phone (314) 362-1291.

Contact Information

Primary practice address
1020 N Mason Rd Div Im Cardiology, Ste 100 Saint Louis MO 63141-6666
Phone: (314) 362-1291
Fax: (314) 362-4278
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 2010008621 Missouri
Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology 207RA0001X 2010008621 Missouri

Profile Details

NPI number 1295990315
LBN Legal business name Lavine, Kory Joshua
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2008
Last updated Apr 25th, 2024 - about 5 months 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 1295990315 NPPES
Missouri MEDICAID 200014995

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