Individual provider · Type 1 NPI

Kevin Wayne Lavine, NP

Acute Care Nurse Practitioner · Syracuse, NY

NPI number 1750805750 Active

Practice location

301 Prospect Ave
Syracuse, NY 13203-1807

Mailing address

4953 Darien Dr
Liverpool, NY 13088-5801

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X431135 (NY)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1750805750

Kevin Wayne Lavine, NP's National Provider Identifier is 1750805750, issued on Aug 1, 2017. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Syracuse, NY. The record was last updated on Aug 1, 2017.