SHANE LAVIN
Individual Provider (NPI-1)
Active
Preventive Medicine, Occupational Medicine
Provider Information
- NPI Number
1538584982- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 3900 LAKEVILLE HWY MOB-2, PETALUMA, CA, 94954
- Phone
- (707) 765-3800
Specialties & Taxonomies
Preventive Medicine, Occupational Medicine
Primary License: CA #178185