Provider Demographics
NPI:1326531468
Name:NAYAR, LAVANYA
Entity Type:Individual
Prefix:
First Name:LAVANYA
Middle Name:
Last Name:NAYAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 LILLIAN TER
Mailing Address - Street 2:
Mailing Address - City:PISCATAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08854-5284
Mailing Address - Country:US
Mailing Address - Phone:732-306-3816
Mailing Address - Fax:
Practice Address - Street 1:2 LILLIAN TER
Practice Address - Street 2:
Practice Address - City:PISCATAWAY
Practice Address - State:NJ
Practice Address - Zip Code:08854-5284
Practice Address - Country:US
Practice Address - Phone:732-306-3816
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-13
Last Update Date:2018-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00759600225X00000X
NY020976-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist