Provider Demographics
NPI:1679738546
Name:LAVY, RISHONA (MS, CGC)
Entity Type:Individual
Prefix:
First Name:RISHONA
Middle Name:
Last Name:LAVY
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:RISHONA
Other - Middle Name:
Other - Last Name:MACKOFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CGC
Mailing Address - Street 1:5300 MCCONNELL AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90066-7026
Mailing Address - Country:US
Mailing Address - Phone:310-482-5665
Mailing Address - Fax:310-482-5600
Practice Address - Street 1:5300 MCCONNELL AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90066-7026
Practice Address - Country:US
Practice Address - Phone:310-482-5665
Practice Address - Fax:310-482-5600
Is Sole Proprietor?:No
Enumeration Date:2008-07-21
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS