Individual
JOHN A. LAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
210 SUNNYVIEW LN STE 201, KALISPELL, MT 59901-3128
(406) 752-5252
(406) 752-5261
Mailing address
210 SUNNYVIEW LN STE 201, KALISPELL, MT 59901-3128
(406) 752-5252
(406) 752-5261
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5315
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0069615
—
MT
01
—
96755
BCBS
MT
Enumeration date
07/13/2006
Last updated
07/08/2007
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