Provider Demographics
NPI:1275169377
Name:LAVROVA, ANNA O (MD)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:O
Last Name:LAVROVA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6916 CHRISTINE ST
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70003-4920
Mailing Address - Country:US
Mailing Address - Phone:504-496-1953
Mailing Address - Fax:
Practice Address - Street 1:1133 JOHN FREEMAN BLVD # S80-10
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2809
Practice Address - Country:US
Practice Address - Phone:713-500-6325
Practice Address - Fax:713-500-0706
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-20
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer