MEDICARE: DR. RICHARD F LAVI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207K00000X	Allergy & Immunology Physician	35081866	OH
2	174400000X	Specialist	35081866	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	4239481	OTHER	OH	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104857895
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD F LAVI M.D.

Provider Business Mailing Address
First Line	:	1100 PORTAGE TRL
Second Line	:
City	:	CUYAHOGA FALLS
State	:	OH
Zip	:	44223-2102
Country	:	US
Telephone Number	:	330-423-4444
Fax Number	:	330-777-4414

Provider Business Practice Location Address
First Line	:	1100 PORTAGE TRL
Second Line	:
City	:	CUYAHOGA FALLS
State	:	OH
Zip	:	44223-2102
Country	:	US
Telephone Number	:	330-423-4444
Fax Number	:	330-777-4414

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	03/03/2026

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Directions to “ DR. RICHARD F LAVI M.D.” Practice Location

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