Individual
TINA M LAVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
1447 VALLEY CT, YUBA CITY, CA 95993-5194
(530) 751-3871
Mailing address
1447 VALLEY CT, YUBA CITY, CA 95993-5194
(530) 751-3871
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
05/17/2013
Last updated
05/17/2013
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