| NPI | 1487886875 |
|---|---|
| Former Name | LISA BETH LAVIKOFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA09365800) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 260218) |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2013-11-01 |