Individual
CAROL ROSE LAVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2390 W CONGRESS ST, LAFAYETTE, LA 70506-4205
(337) 261-6272
Mailing address
106 ENDFIELD CIR, LAFAYETTE, LA 70508-6450
(337) 988-0119
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
44809
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1654612
—
NE
Enumeration date
07/21/2006
Last updated
07/09/2007
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