Stephen Lavanier, MD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

Southeast Health Internal Medicine Residency Program
1108 Ross Clark Circle, Suite 210
Dothan, AL 36302

Phone

(334) 712-3329

NPI assigned

Mar 28, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1134823917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SOUTHEAST HEALTH INTERNAL MEDICINE RESIDENCY PROGRAM",
            "address_2": "1108 ROSS CLARK CIRCLE, SUITE 210",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "36302",
            "telephone_number": "334-712-3329",
            "fax_number": "334-305-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SOUTHEAST HEALTH INTERNAL MEDICINE RESIDENCY PROGRAM",
            "address_2": "1108 ROSS CLARK CIRCLE, SUITE 210",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "36302",
            "telephone_number": "334-712-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVANIER",
        "first_name": "STEPHEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-28",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deana Elizabeth Latham, AU.D.
• Robert Allen Latimer, MD
• Quinton Laudadio
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• Laurel Oaks Behavioral Health Center Inc
• Christina Lawson, MS, LPC
• Steven B Laye, PA
• Kathy Sawyer Lazenby, RPH
• Temple Hudson Lazenby, M.D.
• Thuy-Hong Le-Kumar, MD

• Student in an Organized Health Care Education/Training Program in Dothan, AL
• Providers in Dothan, AL by specialty
• Student in an Organized Health Care Education/Training Program in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.