Individual
PAUL S LAVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2850 E MAIN ST, MESA, AZ 85213-9304
(480) 618-0019
(520) 783-2403
Mailing address
PO BOX 746093, ATLANTA, GA 30374-6093
(773) 759-7550
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2821
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139122
—
AZ
Enumeration date
02/10/2006
Last updated
05/10/2022
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