NPI 1003563057

Courtney Lavin

Practitioner General Practice Physician Tacoma, WA

Practice location

Address: 9040 Jackson Ave, Tacoma, WA 98431-0001
Phone: (253) 968-1790

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 36177 (NE)

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Registry record

NPI: 1003563057
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Mar 2022
Record last updated: 17 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.