Individual
MRS. LAURIE LAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 5TH AVE, TROY, NY 12180-3482
(518) 687-1960
Mailing address
2001 5TH AVE, TROY, NY 12180-3482
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402134
NY
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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