Individual
GARY H LAVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 NEUSE BLVD, NEW BERN, NC 28560-3449
(330) 493-4443
Mailing address
4535 DRESSLER RD NW, CANTON, OH 44718-2545
(330) 493-4443
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
102963
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89130HW
—
NC
Enumeration date
02/08/2007
Last updated
07/08/2007
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