Individual
MS. DEVORAH LEAH LAVIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
14126 71ST RD, FLUSHING, NY 11367-1945
(347) 554-3041
Mailing address
14126 71ST RD, FLUSHING, NY 11367-1945
(347) 554-3041
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
034357
NY
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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