Most Relevant Information
Provider Data
| NPI Number: | 1003563057 |
| Provider Name: | COURTNEY LAVIN |
| Entity Type: | Individual |
| Taxonomy Code: | 208D00000X |
| Specialty: | General Practice |
| License Number: | 36177 |
Most Important Dates
| Enumeration Date: | 03/08/2022 |
| Last Updated: | 03/17/2024 |
Provider Practice Location
9040 JACKSON AVE
TACOMA
WA
984310001
Practice Location Phone/Fax
| Phone: | 2539681790 |
| Fax: |
Provider Mailing Location
9040 JACKSON AVE
TACOMA
WA
984310001
Provider Mailing Phone/Fax
| Phone: | 2539681790 |
| Fax: |