Individual
JEAN MARIE LAVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
12 CHALMERS BLVD, AMAWALK, NY 10501-1217
(914) 594-3131
(914) 594-4513
Mailing address
12 CHALMERS BLVD, AMAWALK, NY 10501-1217
(914) 594-3131
(914) 594-4513
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
501189-1
NY
Other
Enumeration date
08/16/2007
Last updated
08/16/2007
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