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Individual

CAROL ANNE LAVIN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
66 WEST MAIN STREET, LEVY COUNTY HEALTH DEPARTMENT, BRONSON, FL 32621
(352) 486-5300
(352) 486-5370
Mailing address
PO BOX 69, OLD TOWN, FL 32680-0069
(352) 542-8014

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP 495102
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ARNP 495102
NURSING LICENSE FOR STATE
FL
Enumeration date
01/26/2006
Last updated
07/08/2007
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