Individual provider · Type 1 NPI
Nancy C. Lavine-Anderson, OTR, L
Public Health or Welfare Agency · San Diego, CA
NPI number
1083741102
Active
Practice location
6160 Mission Gorge Rd, SUITE# 305
San Diego, CA 92120-3410
Fax (619) 528-4026
Mailing address
5320 Wellesley St
La Mesa, CA 91942-4446
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Public Health or Welfare Agency Primary | 251K00000X | 0T3155 (CA) |
Public Health or Welfare Agency: Definition to come...
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About NPI 1083741102
Nancy C. Lavine-Anderson, OTR, L's National Provider Identifier is 1083741102, issued on Feb 27, 2007. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in San Diego, CA. The record was last updated on Jul 8, 2007.