Individual
PATRICIA LAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
BLACK CREEK HEALTH CENTER, 75 PINEAPPLE STREET, NUREMBERG, PA 18241-0670
(570) 384-3238
(570) 384-3454
Mailing address
1084 ROUTE 315, WILKES-BARRE, PA 18702-7012
(570) 825-8741
(570) 825-8990
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH008086L
PA
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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