Individual
DR. STEVEN JAY LAVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 JOHNSON RIDGE MEDICAL PARK, ELKIN, NC 28621-2400
(336) 716-2405
(336) 716-2406
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-6674
(336) 716-9188
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
2014-00462
NC
207RC0000X
Cardiovascular Disease Physician
2016025639
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200035803
—
MO
Enumeration date
03/02/2006
Last updated
06/27/2025
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