Provider Demographics
NPI:1699339705
Name:LVK MANAGEMENT LLC
Entity type:Organization
Organization Name:LVK MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SIVAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LAM
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMC
Authorized Official - Phone:239-219-2513
Mailing Address - Street 1:74 ALICIA RD
Mailing Address - Street 2:
Mailing Address - City:DORCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:02124-4738
Mailing Address - Country:US
Mailing Address - Phone:239-219-2513
Mailing Address - Fax:
Practice Address - Street 1:4689 PINE ISLAND RD NW
Practice Address - Street 2:
Practice Address - City:MATLACHA
Practice Address - State:FL
Practice Address - Zip Code:33993-9706
Practice Address - Country:US
Practice Address - Phone:239-219-2513
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-24
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0OtherNONE