Individual
ELEANOR P LAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN,BC,CNS
Contact information
Practice address
2000 CLARK ST, MILES CITY, MT 59301-2726
(406) 234-7890
(406) 234-7890
Mailing address
2000 CLARK ST, MILES CITY, MT 59301-2726
(406) 234-7890
(406) 234-7890
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
12752
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000439212
—
MT
Enumeration date
12/21/2006
Last updated
07/23/2014
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