Individual
DR. ELENA LAVROVSKAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3300 NACOGDOCHES RD, SUITE 110, SAN ANTONIO, TX 78217-3373
(210) 646-0890
(210) 646-7764
Mailing address
PO BOX 681149, SAN ANTONIO, TX 78268-1149
(210) 558-6288
(210) 558-6289
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
M8779
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD2021-0025
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197205102
—
TX
01
—
P00902944
MEDICARE RR
TX
Enumeration date
07/06/2007
Last updated
05/31/2024
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