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Individual

MS. MARY ANNE LAVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1450 CHAPEL ST, NEW HAVEN, CT 06511-4405
(203) 789-3661
(203) 789-4037
Mailing address
103 OXBOW LN, GUILFORD, CT 06437-2054
(203) 453-6058

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
000729
CT

Other

Enumeration date
06/07/2006
Last updated
10/18/2007
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