Provider Demographics
NPI:1134685860
Name:LAVINSKI, YOURI (PHD)
Entity Type:Individual
Prefix:DR
First Name:YOURI
Middle Name:
Last Name:LAVINSKI
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 PARK PLZ STE 200
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-2587
Mailing Address - Country:US
Mailing Address - Phone:949-903-4600
Mailing Address - Fax:949-209-1922
Practice Address - Street 1:3 PARK PLZ STE 200
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-2587
Practice Address - Country:US
Practice Address - Phone:949-903-4600
Practice Address - Fax:949-209-1922
Is Sole Proprietor?:No
Enumeration Date:2019-02-19
Last Update Date:2019-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator