Individual
MS. LISA DEFRANCO GAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
1704 PINTO LN, LAS VEGAS, NV 89106-4102
(702) 455-3210
Mailing address
1704 PINTO LN, LAS VEGAS, NV 89106-4102
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
13249
NV
207ZF0201X
Forensic Pathology Physician
MD2008-0361
NM
Other
Enumeration date
04/17/2008
Last updated
12/28/2010
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