| Doctor Name: | DR. MARK LAVIN |
| NPI Number: | 1821065160 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | R3P61 |
| Business Practice Address: | 19609 E 9th St S Independence, MO - 640563088 |
| Business Phone Number: | 8167961412 |
| Business Fax Number: | 8167963398 |
| Mailing Address: | 14003 Bond St, OVERLAND PARK |
| State: | KS |
| Postal Code: | 662212830 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 03/07/2006 |
| NPI Last Update Date: | 03/13/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | R3P61 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |