Search › California › 2083X0100X
Shane Lavin
NPI 1538584982 · on the registry since 2014
Practice
- Address
- 3900 Lakeville Hwy
Mob-2
Petaluma, CA 94954 - Phone
- (707) 765-3800
- Organisation at this address
- Kaiser Foundation Health Plan Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 62
Registry record
- Primary taxonomy
- 2083X0100X
2083X0100X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-08-11
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 California