Individual
ERIC TIMOTHY LAVY
Active
Individual
ERIC TIMOTHY LAVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD00048704
WA
2084P0800X
Psychiatry Physician
ML20008501
WA
2084P0804X
Child & Adolescent Psychiatry Physician
M-10990
ID
2084P0804X
Child & Adolescent Psychiatry Physician
MD00048704
WA
Other
Enumeration date
08/12/2006
Last updated
03/20/2018
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