MEDICARE: DR. CHRISTINA LAVENDER HARVIEW MD

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	207N00000X	Dermatology Physician	66220	AZ

General Provider Information

NPI Number	:	1265920730
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINA LAVENDER HARVIEW MD

Provider Business Mailing Address
First Line	:	5310 HARVEST HILL RD STE 290
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75230-5826
Country	:	US
Telephone Number	:	214-420-0650
Fax Number	:

Provider Business Practice Location Address
First Line	:	1331 N 7TH ST STE 250
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85006-2722
Country	:	US
Telephone Number	:	602-483-6504
Fax Number	:

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

Provider Enumeration Date	:	04/30/2018
Last Update Date	:	10/03/2022

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