Doctor Name: | MRS. KATHLEEN M LAVIN |
NPI Number: | 1114198355 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 26NR12905300 |
Business Practice Address: | 1 Intrepid Dr Sewell, NJ - 080801964 |
Business Phone Number: | 8565893802 |
Business Fax Number: | |
Mailing Address: | 1 Intrepid Dr, SEWELL |
State: | NJ |
Postal Code: | 080801964 |
Phone Number: | 8565893802 |
Fax Number: | |
NPI Enumeration Date: | 03/16/2008 |
NPI Last Update Date: | 03/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WG0000X |
License Number: | 26NR12905300 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | General Practice |
Taxonomy Definition: |