Provider Demographics
NPI:1104857895
Name:LAVI, RICHARD F (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:F
Last Name:LAVI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:8054 DARROW RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:TWINSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:44087-2381
Mailing Address - Country:US
Mailing Address - Phone:330-423-4444
Mailing Address - Fax:330-777-4414
Practice Address - Street 1:8054 DARROW RD
Practice Address - Street 2:SUITE 2
Practice Address - City:TWINSBURG
Practice Address - State:OH
Practice Address - Zip Code:44087-2381
Practice Address - Country:US
Practice Address - Phone:330-423-4444
Practice Address - Fax:330-777-4414
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2024-02-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35081866174400000X, 207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2836462Medicaid
OH4239481OtherMEDICARE PTAN
OH157710Medicare UPIN