Individual
KENNETH MICHAEL LAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
272 CHAUNCY STREET SUITE 4, MANSFIELD, MA 02048
(508) 339-3338
(508) 339-4758
Mailing address
272 CHAUNCY STREET, MANSFIELD, MA 02048
(508) 339-3338
(508) 339-4758
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
MA1918
MA
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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