Individual provider · Type 1 NPI
Nicole Leanne Lavin, DNP, CPNP
Pediatric Nurse Practitioner · San Antonio, TX
NPI number
1790952877
Active
Practice location
4502 Medical Dr
San Antonio, TX 78229-4402
Fax (816) 302-9939
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 53-78906-101 (KS) |
| Pediatric Nurse Practitioner | 363LP0200X | RN1011816 (DC) |
| Pediatric Nurse Practitioner | 363LP0200X | 0024172033 (VA) |
| Pediatric Nurse Practitioner | 363LP0200X | AP128012 (TX) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 2019020211 (MO) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1790952877
Nicole Leanne Lavin, DNP, CPNP's National Provider Identifier is 1790952877, issued on May 8, 2008. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in San Antonio, TX. The record was last updated on Apr 25, 2022.