Gonzalez Lavagnini, Pablo Luis
Gonzalez Lavagnini, Pablo Luis is an individual health care provider with primary practice located at 602 S Atwood Rd Suite 105, Bel Air MD 21014-4172. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Gonzalez Lavagnini, Pablo Luis can be contacted via phone (410) 836-0354.Contact Information
Primary practice address
602 S Atwood Rd Suite 105
Bel Air MD 21014-4172
Phone: (410) 836-0354
Fax: (410) 836-0170
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | D66490 | Maryland |
Profile Details
| NPI number | 1417148297 |
|---|---|
| LBN Legal business name | Gonzalez Lavagnini, Pablo Luis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 6th, 2007 |
| Last updated | Mar 3rd, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417148297 | NPPES |
| Maryland | Other | 6882-0004 | CARE FIRST BCBS-DC |
| Maryland | Other | P00441742 | CARE FIRST BCBS-DC |
| Maryland | Other | 88100501 | CARE FIRST BCBS-DC |
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