Individual
KELLY A LAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4122 E TOWNE BLVD, MADISON, WI 53704-3732
(608) 242-6850
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
60192
WI
Other
Enumeration date
07/22/2011
Last updated
02/01/2021
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