Individual
TAYLOR LAVICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 HARVARD ST SE, MINNEAPOLIS, MN 55455-0363
(612) 273-8383
Mailing address
678 IOWA AVE W, SAINT PAUL, MN 55117-3417
(651) 788-6152
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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