MEDICARE: LAVINIA ADAMS

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	374J00000X	Doula		NJ

General Provider Information

NPI Number	:	1013887389
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAVINIA ADAMS

Provider Business Mailing Address
First Line	:	466 S CENTER ST APT 9
Second Line	:
City	:	ORANGE
State	:	NJ
Zip	:	07050-3133
Country	:	US
Telephone Number	:	973-207-4722
Fax Number	:	973-677-0516

Provider Business Practice Location Address
First Line	:	466 S CENTER ST APT 9
Second Line	:
City	:	ORANGE
State	:	NJ
Zip	:	07050-3133
Country	:	US
Telephone Number	:	973-207-4722
Fax Number	:	973-677-0516

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

Provider Enumeration Date	:	11/10/2025
Last Update Date	:	11/10/2025

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Directions to “ LAVINIA ADAMS ” Practice Location

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