KEVIN WAYNE LAVINE

SYRACUSE, NY
NPI1750805750
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: NY  431135)
Enumeration Date2017-08-01
Last Update Date2017-08-01
Business Address
KEVIN WAYNE LAVINE NP
301 PROSPECT AVE
SYRACUSE, NY 13203-1807
Phone number: 315-448-5704
Mailing Address
KEVIN WAYNE LAVINE NP
4953 DARIEN DR
LIVERPOOL, NY 13088-5801
Phone number:
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