Individual
JEREMY LAVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CLEVELAND CLINIC, 9500 EUCLID AVENUE, CLEVELAND, OH 44195
(216) 444-5892
Mailing address
CLEVELAND CLINIC, 9500 EUCLID AVENUE, CLEVELAND, OH 44195-0001
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
127865
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2012
Last updated
05/26/2018
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