Individual
DR. LAVINIA T REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11081 FOREST PINES DR, SUITE 124, RALEIGH, NC 27614-7655
(919) 435-6111
(919) 435-6113
Mailing address
12200 PAWLEYS MILL CIR, RALEIGH, NC 27614-7976
(919) 435-6111
(919) 435-6113
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9701126
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8910888
—
NC
Enumeration date
06/22/2006
Last updated
03/29/2021
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