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Individual

DR. DIANNE S LAVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D., RN, PMHNP-BC

Contact information

Practice address
7703 FLOYD CURL DRIVE, UNIVERSITY OF TEXAS HSC SCHOOL OF NURSING, SAN ANTONIO, TX 78229-4226
(719) 641-5094
Mailing address
107 NORTHAVEN, SAN ANTONIO, TX 78229-4226
(719) 641-5094

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
663244
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
852N11
BCBS TX
TX
Enumeration date
08/30/2006
Last updated
09/13/2011
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