Individual
DR. LAWRENCE BRIAN LAVEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
96 MILLBURN AVE, SUITE 203, MILLBURN, NJ 07041-1944
(973) 994-0490
(973) 762-3554
Mailing address
71 E SHERBROOKE PKWY, LIVINGSTON, NJ 07039-3135
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
25MA05847300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6474403
—
NJ
Enumeration date
07/20/2005
Last updated
07/08/2007
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