Individual
HAVA G LAVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
270 W LAKE MEAD PKWY, HENDERSON, NV 89015-7093
(702) 617-1227
(702) 616-2069
Mailing address
PO BOX 15645, LAS VEGAS, NV 89114-5645
(702) 560-2900
(702) 560-2928
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN001317
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972883320
—
NV
Enumeration date
08/17/2011
Last updated
04/12/2012
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