Organization
PETER E. LAVINE, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER E LAVINE M.D. (PHYSICIAN)
(202) 223-8600
Entity
Organization
Contact information
Practice address
1145 19TH ST NW, SUITE 710, WASHINGTON, DC 20036-3701
(202) 223-8600
(202) 828-9376
Mailing address
1145 19TH ST NW, SUITE 710, WASHINGTON, DC 20036-3701
(202) 223-8600
(202) 828-9376
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
MD18740
DC
Other
Enumeration date
01/07/2007
Last updated
08/22/2020
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