ADAM LAVAN

LAKE FOREST, IL
NPI1588280770
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096.005530)
Enumeration Date2020-06-23
Last Update Date2023-01-25
Business Address
ADAM LAVAN
1920 FOOTBALL DR
LAKE FOREST, IL 60045-4829
Phone number: 850-324-3085
Mailing Address
ADAM LAVAN
362 FARMINGDALE CIR
VERNON HILLS, IL 60061-1910
Phone number: 850-324-3085
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