Individual
DEBORAH K LAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
325 ESSJAY RD, WILLIAMSVILLE, NY 14221-8243
(716) 630-1146
(716) 817-1727
Mailing address
425 ESSJAY RD STE 170, WILLIAMSVILLE, NY 14221-8235
(716) 630-1219
(716) 817-1726
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F300923-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026520701
UNIVERA
NY
01
—
000560561001
HEALTH NOW
NY
05
—
02094957
—
NY
01
—
161000580
NOVA
NY
01
—
500014831
RR MEDICARE
NY
01
—
9512205
IHA
NY
Enumeration date
08/10/2006
Last updated
03/06/2024
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