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Individual

NICHOLAS LAWRENCE LAVIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
913 S COLLEGE RD STE 102, LAFAYETTE, LA 70503-3061
(337) 232-2833
(337) 234-4038
Mailing address
913 S COLLEGE RD STE 102, LAFAYETTE, LA 70503-3061
(337) 232-2833
(337) 234-4038

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
207909
LA

Other

Enumeration date
04/19/2012
Last updated
04/23/2019
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