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Individual
DR. KYLE NICHOLES LAVIN
Active
Individual
DR. KYLE NICHOLES LAVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084H0002X
Hospice and Palliative Medicine (Psychiatry & Neurology) Physician
Primary
2016-01039
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2011
Last updated
06/22/2016
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