Individual
MRS. TINA PATRICIA LAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
6500 EXCELSIOR BLVD, SAINT LOUIS PARK, MN 55426-4702
(952) 993-1000
Mailing address
709 UNIVERSITY AVE W, SAINT PAUL, MN 55104-4804
(651) 265-2314
(651) 265-2318
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6177
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4600293
MEDICA
MN
01
—
9G930AS
BCBS
MN
01
—
HP43893
HEALTH PARTNERS
MN
Enumeration date
03/26/2007
Last updated
05/03/2018
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