Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | ME109866 | FL |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | MT188403 | PA |
NPI | 1083810493 |
---|---|
Provider Name | Dr. Leela S Lavasani |
First Address | Naples, FL 34119-3900 |
Second Address | Naples, FL 34119-3900 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2007 |
Last Update Date | 18/02/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
004121200 | (05) | FL |