Individual
LAVINNIA TAMIKA AUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 CAYUGA RD STE 200, CHEEKTOWAGA, NY 14225-1950
(716) 819-3420
(716) 819-3430
Mailing address
301 CAYUGA RD STE 200, CHEEKTOWAGA, NY 14225-1950
(716) 819-3420
(716) 819-3430
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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