Provider Demographics
NPI:1457346397
Name:LAVIN, CLEMENT W (MD)
Entity type:Individual
Prefix:DR
First Name:CLEMENT
Middle Name:W
Last Name:LAVIN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:25 FIRST PK
Mailing Address - Street 2:SUITE C
Mailing Address - City:WATERVILLE
Mailing Address - State:ME
Mailing Address - Zip Code:04901-6100
Mailing Address - Country:US
Mailing Address - Phone:207-872-9564
Mailing Address - Fax:207-861-5458
Practice Address - Street 1:32 COLLEGE AVE
Practice Address - Street 2:SUITE 304
Practice Address - City:WATERVILLE
Practice Address - State:ME
Practice Address - Zip Code:04901-6100
Practice Address - Country:US
Practice Address - Phone:207-872-9564
Practice Address - Fax:207-861-5458
Is Sole Proprietor?:No
Enumeration Date:2005-09-16
Last Update Date:2014-12-03
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Provider Licenses
StateLicense IDTaxonomies
ME013046207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology