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Lavonna Fortin, LMSW

NPI 1518995117 · on the registry since 2006 · sole proprietor

Practice

Address
6103 W Amarillo Blvd Ste A
Amarillo, TX 79106
Phone
(806) 355-1559
Fax
(806) 355-2273
Organisation at this address
C. Marshall Bradshaw Md Pa
Mahaffey Orthotics & Prosthetics Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
174400000X
174400000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

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 Texas