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Individual

CHRISTINA J LAVY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2680 W MARKET ST, FAIRLAWN, OH 44333-4215
(234) 867-5001
Mailing address
2680 W MARKET ST, FAIRLAWN, OH 44333-4215
(234) 867-5001

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E7496
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
341213335CL
SUMMACARE
OH
01
6289141
UBH
OH
Enumeration date
01/13/2007
Last updated
12/18/2024
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