Individual
DR. MICHAEL LAVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
356 LODER ST, SOUTH WAVERLY, PA 18840-2611
(570) 882-7414
(570) 888-1204
Mailing address
356 LODER ST, SOUTH WAVERLY, PA 18840-2611
(570) 882-7414
(570) 888-1204
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD072058L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001815370
—
PA
01
—
1439241
HIGHMARK BLUE SHIELD NUMB
PA
Enumeration date
04/14/2006
Last updated
02/14/2012
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