Individual
ADAM LAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1920 FOOTBALL DR, LAKE FOREST, IL 60045-4829
(850) 324-3085
Mailing address
362 FARMINGDALE CIR, VERNON HILLS, IL 60061-1910
(850) 324-3085
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.005530
IL
Other
Enumeration date
06/23/2020
Last updated
01/25/2023
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