Provider Demographics
NPI:1144867888
Name:LAVIN, BRITTANY MORGAN (DPT)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:MORGAN
Last Name:LAVIN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:87 LYNNFIELD TER
Mailing Address - Street 2:
Mailing Address - City:PHILLIPSBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08865-2018
Mailing Address - Country:US
Mailing Address - Phone:908-235-8121
Mailing Address - Fax:
Practice Address - Street 1:1090 KING GEORGES POST RD
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08837-3701
Practice Address - Country:US
Practice Address - Phone:732-661-1151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-02
Last Update Date:2019-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01900300208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ40QA01900300OtherDPT LICENSE NUMBER