Healthcare Provider Details

I. General information

NPI: 1104857895
Provider Name (Legal Business Name): RICHARD F LAVI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8054 DARROW RD SUITE 2
TWINSBURG OH
44087-2381
US

IV. Provider business mailing address

1100 PORTAGE TRL
CUYAHOGA FALLS OH
44223-2102
US

V. Phone/Fax

Practice location:
  • Phone: 330-423-4444
  • Fax: 330-777-4414
Mailing address:
  • Phone: 330-423-4444
  • Fax: 330-777-4414

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number35081866
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number35081866
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: