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Individual
KATLYN M LAVIN
Active
Individual
KATLYN M LAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
024167
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA4809
LICENSE
MA
Enumeration date
08/16/2013
Last updated
01/07/2020
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