Individual
DR. JOHN-PAUL LAVIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
350 W 11TH ST # 6027, INDIANAPOLIS, IN 46202-4108
(440) 228-6718
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207ZM0300X
Medical Microbiology Physician
01082275A
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
01082275A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/04/2014
Last updated
10/13/2022
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