Individual
DR. STEVE LAVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11199 SORRENTO VALLEY RD, #202, SAN DIEGO, CA 92121-1334
(858) 295-4001
Mailing address
11199 SORRENTO VALLEY RD, #202, SAN DIEGO, CA 92121-1334
(858) 295-4001
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
G53607
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G53607
—
CA
Enumeration date
10/31/2005
Last updated
08/12/2019
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