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Contact Information

STEPHEN J LAVRISA, DDS
2631 WILLIAMSBURG AVE STE 103
GENEVA, IL60134
 Phone: 630-262-9696
 Fax: 630-262-9685
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for STEPHEN J LAVRISA · (Male)

NPI Number 1073527263
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 07/27/2006
Last updated 11/12/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 019021979
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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