Organization
SSM GROUP PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS LAVIN (OWNER)
(504) 491-4987
Entity
Organization
Contact information
Practice address
2612 SEVERN AVE, METAIRIE, LA 70002-5935
(504) 491-4987
Mailing address
2612 SEVERN AVE, METAIRIE, LA 70002-5935
(504) 491-4987
Taxonomy
Speciality
Code
Description
License number
State
207QS1201X
Sleep Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
03/10/2019
Last updated
03/24/2025
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