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Individual
DR. DAVID M. LAVINE
Active
Individual
DR. DAVID M. LAVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
E0082
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00N791
BLUE CROSS BLUE SHIELD
TX
01
—
4019441
AETNA
TX
Enumeration date
03/24/2006
Last updated
07/08/2007
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