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Individual

DAVID ALAN LAVINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
26400 OUTER DR, LINCOLN PARK, MI 48146-2088
(313) 594-6000
Mailing address
26400 OUTER DR, LINCOLN PARK, MI 48146-2088
(313) 594-6000

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
5101010468
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4490527
MI
Enumeration date
07/12/2005
Last updated
01/19/2010
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