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David Thomas Lavan
Student in an Organized Health Care Education/Training Program in Smithtown, New York
NPI 1992284954

David Thomas Lavan is a Student in an Organized Health Care Education/Training Program based in Port Jefferson, NY. David Thomas Lavan practices in Smithtown, NY. The NPI Number for David Thomas Lavan is 1992284954 and holds a License No. (New York).

The current practice location address for David Thomas Lavan is 11 Route 111, Smithtown, NY and can be reached out via phone at 631-920-8300.

Location: 11 Route 111, Smithtown, NY, 11777-2056
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992284954
Provider Name
David Thomas Lavan
Credential
Provider Entity Type
Individual
Gender
Male
Address
11 Route 111, Smithtown, NY, 11777-2056
Phone Number
631-920-8300
Fax Number
Provider Enumeration Date
08/10/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11 Route 111
City
Smithtown
State
New York
Zip
11787-3754
Phone Number
631-920-8300
Fax Number
person
Provider Business Mailing Address Details
Address
11 Route 111
City
Smithtown
State
New York
Zip
11787-3754
Phone Number
631-920-8300
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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