| Doctor Name: | PETER G. LAVINE |
| NPI Number: | 1063486439 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 058276 |
| Business Practice Address: | 1129 Lake Oconee Pkwy Unit 104 Eatonton, GA - 310249580 |
| Business Phone Number: | 7064854004 |
| Business Fax Number: | 7062962986 |
| Mailing Address: | 1838 American Way, LAWRENCEVILLE |
| State: | GA |
| Postal Code: | 300436611 |
| Phone Number: | 7709957622 |
| Fax Number: | 7709957854 |
| NPI Enumeration Date: | 02/14/2006 |
| NPI Last Update Date: | 02/05/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RC0000X |
| License Number: | 058276 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Cardiovascular Disease |
| Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |