Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | 61642 | CA |
NPI | 1588040059 |
---|---|
Provider Name | Mrs. Debbie Diane Lavin |
First Address | Valencia, CA 91354-1315 |
Second Address | Santa Clarita, CA 91321-5037 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2015 |
Last Update Date | 06/08/2015 |