Individual
MRS. CORINA PEREZ LAVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
2010 REDSKIN AVE STE A, DONNA, TX 78537-3380
(956) 377-5155
(956) 377-5123
Mailing address
2010 REDSKIN AVE STE A, DONNA, TX 78537-3380
(956) 377-5155
(956) 377-5123
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
16871
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181333901
—
TX
01
—
8T6342
BCBS PROVIDER #
TX
Enumeration date
10/11/2006
Last updated
03/21/2012
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