Individual
ANITA L LAVIN
Active
Individual
ANITA L LAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
415PT
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0197809
PROVIDER #
MT
05
—
0343343
—
MT
01
—
61105
PROVIDER #
MT
Enumeration date
10/14/2005
Last updated
07/13/2026
Update your record
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