AMANDA BROOKE LAVIN

PHILADELPHIA, PA
NPI1528386489
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: PA  MA053731)
Enumeration Date2010-05-17
Last Update Date2014-01-02
Business Address
Ms. AMANDA BROOKE LAVIN PA-C
2301 S BROAD ST
PHILADELPHIA, PA 19148-3542
Phone number: 215-952-9559
Mailing Address
Ms. AMANDA BROOKE LAVIN PA-C
2301 S BROAD ST
PHILADELPHIA, PA 19148-3542
Phone number: 215-952-9559