DR. DAVID M. LAVINE M.D. NPI 1407816408

NPI Information

NPI: 1407816408
Provider Name: DR. DAVID M. LAVINE, M.D.
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

Address:
800 8TH AVE
SUITE 200
FORT WORTH, TX
ZIP 76104
Phone: (817) 335-6457
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DR. David M. Lavine, M.D. is a plastic and reconstructive surgery surgery in Fort Worth, TX. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. David M. Lavine, M.D. NPI is 1407816408. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

800 8TH AVE
SUITE 200
FORT WORTH, TX
ZIP 76104-619
Phone: (817) 335-6457
Fax: (817) 334-0491

The enumeration date for this NPI number is 3/24/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0122X	Surgery	Plastic and Reconstructive Surgery	E0082	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00N791	MEDICARE ID-TYPE UNSPECIFIED	TEXAS
2	00N791	OTHER	TEXAS	BLUE CROSS BLUE SHIELD
3	4019441	OTHER	TEXAS	AETNA
4	C18190	MEDICARE UPIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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