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Individual
LAVAN HARRIS
Active
Individual
LAVAN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP027276
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
OS016871
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
SP032816
PA
Other
Enumeration date
03/14/2023
Last updated
08/22/2025
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