Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 46729 | CO |
NPI | 1053520783 |
---|---|
Provider Name | Dr. Jinny Rebecca Lavezzi |
First Address | Kansas City, MO 64111-3220 |
Second Address | Kansas City, MO 64111-3220 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2007 |
Last Update Date | 02/04/2013 |