Individual
CARLOS ALFREDO LAVAYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT ECS
Contact information
Practice address
26691 PLAZA DRIVE STE 205, MISSION VIEJO, CA 92691
(949) 367-1088
(949) 367-1042
Mailing address
26691 PLAZA DRIVE STE 205 MISSION VIEJO CA 92691, MISSION VIEJO, CA 92691
(949) 367-1088
(949) 367-1042
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT11297
CA
Other
Enumeration date
12/18/2006
Last updated
01/25/2013
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