Lavis, Timothy D

Lavis, Timothy D is an individual health care provider with primary practice located at 1201 Broad Rock Blvd , Richmond VA 23249-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine. Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine is his primary health care specialty. Lavis, Timothy D can be contacted via phone (804) 675-5455.

Contact Information

Primary practice address
1201 Broad Rock Blvd Richmond VA 23249-0001
Phone: (804) 675-5455
Fax: (804) 675-5223
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 2006-00544 North Carolina
Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine 2081P0004X 2006-00544 North Carolina

Profile Details

NPI number 1619996451
LBN Legal business name Lavis, Timothy D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Apr 29th, 2013 - about 11 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 1619996451 NPPES
North Carolina Other 14228 NCBCBS
North Carolina MEDICAID 5903885 NCBCBS
North Carolina MEDICAID N0054A NCBCBS

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