Individual
MRS. NICOLE LEANNE LAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CPNP
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
(816) 302-9939
Mailing address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
0024172033
VA
363LP0200X
Pediatric Nurse Practitioner
Primary
2019020211
MO
363LP0200X
Pediatric Nurse Practitioner
53-78906-101
KS
363LP0200X
Pediatric Nurse Practitioner
AP128012
TX
363LP0200X
Pediatric Nurse Practitioner
RN1011816
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
348820703
—
TX
Enumeration date
05/08/2008
Last updated
04/25/2022
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