Individual
LAVETTA LINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5510 SUDER AVE, TOLEDO, OH 43611-1413
(419) 481-0434
Mailing address
5510 SUDER AVE, TOLEDO, OH 43611-1413
(419) 481-0434
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
4806464
OH
Other
Enumeration date
07/05/2016
Last updated
07/05/2016
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