Organization
WISDOM & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUANN B. LAVIN C.N.P. (OWNER)
(614) 738-3686
Entity
Organization
Contact information
Practice address
659 PARK MEADOW RD STE J, WESTERVILLE, OH 43081-2879
(614) 899-6877
(614) 899-6820
Mailing address
PO BOX 2207, WESTERVILLE, OH 43086-2207
(614) 899-6877
(614) 899-6820
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NP-11102
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3139473
—
OH
Enumeration date
05/23/2011
Last updated
11/23/2011
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