IndividualActive
Courtney Lavin
NPI 1003563057 · General Practice Physician · Tacoma, WA
Provider details
- NPI number
- 1003563057
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- 36177 (NE)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
9040 Jackson Ave
Tacoma, WA 98431-0001
Phone: (253) 968-1790
Approximate (ZIP-level) locationGet directions
Mailing address
9040 Jackson Ave
Tacoma, WA 98431-0001
Registry dates
- Enumerated
- 2022-03-08
- Last updated
- 2024-03-17
- Certified
- 2024-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.