Organization
STEVE LAVERSON, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE LAVERSON MD (OWNER)
(760) 753-6464
Entity
Organization
Contact information
Practice address
477 N EL CAMINO REAL, D-304, ENCINITAS, CA 92024-1328
(760) 753-6464
(760) 753-6474
Mailing address
477 N EL CAMINO REAL, D-304, ENCINITAS, CA 92024-1328
(760) 753-6464
(760) 753-6474
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
G53607
CA
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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