Individual
NICOLE LAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
50 MERAMEC TRAIL DR, BALLWIN, MO 63021-3303
(636) 923-2323
Mailing address
50 MERAMEC TRAIL DR, BALLWIN, MO 63021-3303
(636) 923-2323
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2021016031
MO
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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