Individual
MS. KELLY LAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
10782 E ALAMEDA AVE, DENVER, CO 80012-1017
(347) 543-2400
Mailing address
191 BEACH 129TH ST, BELLE HARBOR, NY 11694-1619
(347) 543-2400
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/20/2015
Last updated
08/20/2015
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