Search › Michigan › 152W00000X
Mark Lavine, O.D
NPI 1154482594 · on the registry since 2006
Practice
- Address
- 354 W 14 Mile Rd
Oakland Mall
Troy, MI 48083 - Phone
- (248) 585-0044
- Fax
- (248) 585-5525
- Organisation at this address
- Pearle Vision Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-05-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan