Individual
DR. MARK LAVIN
Active
Individual
DR. MARK LAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
R3P61
MO
2085R0202X
Diagnostic Radiology Physician
04-18135
KS
2085R0202X
Diagnostic Radiology Physician
Primary
R3P61
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00152876
RR MEDICARE
MS
01
—
P00152929
RR MEDICARE
KS
Enumeration date
03/07/2006
Last updated
03/13/2008
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