SearchConnecticut101YA0400X

Douglas Lavine, L.A.D.C

NPI 1598719239 · on the registry since 2006 · sole proprietor

Practice

Address
352 Route 87
Columbia, CT 06237
Phone
(860) 456-4567
Organisation at this address
Life Happens
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
CT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-23

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 Connecticut