MEDICARE: DR. ARTHUR LAVIN 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	208000000X	Pediatrics Physician	3559478L	OH

General Provider Information

NPI Number	:	1548365679
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARTHUR LAVIN MD

Provider Business Mailing Address
First Line	:	3733 PARK EAST DR
Second Line	:	SUITE 102
City	:	BEACHWOOD
State	:	OH
Zip	:	44122-4338
Country	:	US
Telephone Number	:	216-591-1515
Fax Number	:

Provider Business Practice Location Address
First Line	:	3733 PARK EAST DR
Second Line	:	SUITE 102
City	:	BEACHWOOD
State	:	OH
Zip	:	44122-4338
Country	:	US
Telephone Number	:	216-591-1515
Fax Number	:

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

Provider Enumeration Date	:	09/13/2006
Last Update Date	:	09/23/2008

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