Individual
NIVIE LASEVSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
750 MORPHY AVE, FAIRHOPE, AL 36532-1812
(251) 279-1529
Mailing address
750 MORPHY AVE, FAIRHOPE, AL 36532-1812
(251) 279-1529
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
331715
NY
208M00000X
Hospitalist Physician
Primary
331715
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
05/03/2021
Last updated
06/10/2025
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