Individual
MRS. CATHERINE L LAVICKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
14540 CORTEZ BLVD, SUITE 115, BROOKSVILLE, FL 34613-6056
(352) 597-4000
(352) 597-0550
Mailing address
9595 BEARFOOT TRL, WEEKI WACHEE, FL 34613-6480
(352) 592-2403
(352) 597-0550
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1057642
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1057642
ARNP LICENSE
FL
Enumeration date
05/17/2007
Last updated
07/08/2007
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