Individual
MRS. KATHLEEN M LAVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1 INTREPID DR, SEWELL, NJ 08080-1964
(856) 589-3802
Mailing address
1 INTREPID DR, SEWELL, NJ 08080-1964
(856) 589-3802
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
26NR12905300
NJ
163WG0000X
General Practice Registered Nurse
Primary
RN521627L
PA
Other
Enumeration date
03/16/2008
Last updated
03/16/2008
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