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Individual

MR. DAVID LAVIAN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
14600 SHERMAN WAY, STE 215, VAN NUYS, CA 91405-2283
(818) 782-4300
(818) 782-6411
Mailing address
PO BOX 571286, TARZANA, CA 91357-1286
(818) 782-4300
(818) 782-6411

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A46370
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A463700
CA
Enumeration date
07/19/2005
Last updated
07/08/2007
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