Individual
DR. NEIL S LAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12 EXECUTIVE PARK DRIVE, ATLANTA, GA 30329-2206
(404) 778-3444
(404) 712-7464
Mailing address
12 EXECUTIVE PARK DRIVE, ATLANTA, GA 30329-2206
(404) 778-3444
(404) 712-7464
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
121255-1
NY
2084N0400X
Neurology Physician
Primary
60115
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
169085553H
—
GA
Enumeration date
08/25/2005
Last updated
10/22/2015
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