Individual
DR. MICHAEL A LAVOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7140 E ROSEWOOD ST STE 110, TUCSON, AZ 85710-1346
(520) 440-3004
Mailing address
3650 N CAMINO OJO DE AGUA, TUCSON, AZ 85749-7811
(520) 440-3004
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20041
AZ
2086S0129X
Vascular Surgery Physician
20041
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203604285
UNITED
AZ
01
—
2Z3171
HEALTH NET
AZ
01
—
69472
PACIFICARE
AZ
01
—
AZ0153300
BCBS
AZ
01
—
O55823-22
AHCCCS
AZ
Enumeration date
06/29/2006
Last updated
10/03/2023
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