Individual
DR. LAVINA MALHOTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
395 W 12TH AVE RM 654, COLUMBUS, OH 43210-1267
(614) 293-8704
(614) 293-4063
Mailing address
130 LA CASA VIA, STE 211, WALNUT CREEK, CA 94598-3046
(614) 293-8704
(614) 293-4063
Taxonomy
Speciality
Code
Description
License number
State
193400000X
Single Specialty Group
Primary
A138713
CA
Other
Enumeration date
04/20/2011
Last updated
09/16/2022
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