Individual
JANKI KIRAN LAVINGIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY, MILWAUKEE, WI 53215-3669
(414) 385-8780
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
036141930
IL
2084N0400X
Neurology Physician
57970
WI
2084N0600X
Clinical Neurophysiology Physician
Primary
57970
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100033872
—
WI
Enumeration date
06/28/2011
Last updated
12/28/2023
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