Lavrich, Pamela Sue

Lavrich, Pamela Sue is an individual health care provider with primary practice located at 500 W Main St , Wyckoff NJ 07481-1439. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Lavrich, Pamela Sue can be contacted via phone (201) 847-9320.

Contact Information

Primary practice address
500 W Main St Wyckoff NJ 07481-1439
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 25MA06387100 New Jersey

Profile Details

NPI number 1255492310
LBN Legal business name Lavrich, Pamela Sue
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Jul 8th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255492310 NPPES
New Jersey MEDICAID 7035-306

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