Lavine, Lawrence Merion

Lavine, Lawrence Merion is an individual health care provider with primary practice located at 1 S Virginia St , Crystal Lake IL 60014-5826. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Lavine, Lawrence Merion can be contacted via phone (260) 414-4990.

Contact Information

Primary practice address
1 S Virginia St Crystal Lake IL 60014-5826
Phone: (260) 414-4990
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 036049364 Illinois
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 036-049364 Illinois

Profile Details

NPI number 1336119171
LBN Legal business name Lavine, Lawrence Merion
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Dec 14th, 2011 - about 14 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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