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Individual

DR. HARISH LAVU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
615 CHESTNUT ST, 14TH FLOOR, PHILADELPHIA, PA 19106-4404
(215) 955-2141
(215) 955-2420
Mailing address
615 CHESTNUT ST, 14TH FLOOR, PHILADELPHIA, PA 19106-4404

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
01063375A
IN
208600000X
Surgery Physician
Primary
MD434568
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0175293
NJ
05
1022130930001
PA
Enumeration date
04/23/2007
Last updated
11/18/2008
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