Jayson Lavie, M.D. Valid NPI

Individual provider · Diagnostic Radiology Physician · Boise, ID

NPI

1689087009

Type

Individual (Type 1)

Primary specialty

Diagnostic Radiology Physician (Radiology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

2085R0202X

License number

M-17334 (ID)

Sex

Male

Sole proprietor

No

Enumerated

2014-06-03

Last updated

2023-07-07