Individual
DANIEL WALTER LAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
31 DOG RIVER DRIVE, NORTHFIELD, VT 05663
(802) 485-8550
Mailing address
85 EDGEBROOK RD, FRAMINGHAM, MA 01701-3813
(508) 788-5567
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
105501
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105501
—
VT
Enumeration date
12/08/2021
Last updated
12/08/2021
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