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NPI Code Detail

MEDICARE: CHRISTINA J LAVY

MEDICARE: CHRISTINA J LAVY
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
1101Y00000XCounselorE7496OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
16289141OTHEROHUBH
2341213335CLOTHEROHSUMMACARE

General Provider Information

NPI Number : 1306997812
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA J LAVY
Provider Business Mailing Address
First Line : 2680 W MARKET ST
Second Line :
City : FAIRLAWN
State : OH
Zip : 44333-4215
Country : US
Telephone Number : 234-867-5001
Fax Number :
Provider Business Practice Location Address
First Line : 2680 W MARKET ST
Second Line :
City : FAIRLAWN
State : OH
Zip : 44333-4215
Country : US
Telephone Number : 234-867-5001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2007
Last Update Date : 12/18/2024

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Directions to “ CHRISTINA J LAVY ” Practice Location

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