Patrick J Lavine-herndon

NPI 1083013742 - Counselor - 101YM0800X

NPI Details
NPI 1083013742
Gender Male
Enumeration Date 08/19/2014
Last Updated 08/19/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
4200 PERIMETER CENTER DR
SUITE 245
OKLAHOMA CITY OK, 73112-2324, US
Phone (405) 606-4424
Fax
Business Location
4200 PERIMETER CENTER DR
SUITE 245
OKLAHOMA CITY OK, 73112-2324, US
Phone (405) 606-4424
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Mr. Patrick J Lavine-herndon NPI is 1083013742, taxonomy code is 101YM0800X Patrick J Lavine-herndon physically located at 4200 Perimeter Center Dr, Oklahoma City OK, 73112-2324. NPI Number Patrick J Lavine-herndon has the Individual type.

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1083013742 NPI number is provided on an as is basis without warranty of any kind. 1083013742 is maintained by the National Plan & Provider Enumeration System. The contents of Patrick J Lavine-herndon are for informational purposes only.