Individual
DR. JENNIFER LAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, MTC, CMTPT
Contact information
Practice address
1845 N FARWELL AVE, SUITE 200, MILWAUKEE, WI 53202-1793
(414) 939-4991
Mailing address
1845 N FARWELL AVE STE 200, MILWAUKEE, WI 53202-1715
(414) 939-4991
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070021609
IL
225100000X
Physical Therapist
Primary
12283
WI
225100000X
Physical Therapist
PTL.0013009
CO
Other
Enumeration date
02/22/2013
Last updated
12/11/2017
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