Individual
MISS LISA LAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S
Contact information
Practice address
181 KINGS POINT ROAD, GREAT NECK, NY 11024
(516) 242-2030
Mailing address
181 KINGS POINT RD, GREAT NECK, NY 11024-1017
(516) 242-2030
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
293093838
NY
Other
Enumeration date
09/10/2013
Last updated
09/10/2013
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