Individual
PHILIP H. LAVINE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1236 HUFFMAN MILL RD, STE 2200, BURLINGTON, NC 27215-8700
(336) 675-0874
(336) 584-0210
Mailing address
1236 HUFFMAN MILL RD, STE 2200, BURLINGTON, NC 27215-8700
(336) 675-0874
(336) 584-0210
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
200101358
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130JA
—
NC
Enumeration date
06/21/2005
Last updated
07/08/2007
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