Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Nichole Kathleen Lavanway, MD

Individual provider Emergency Medicine Physician · NPI 1578680278

Dr. Nichole Kathleen Lavanway, MD is an Emergency Medicine in Ann Arbor, Michigan. Qualified in 2006, 20 years ago. Practices with Cep America LLC, a 985-clinician group and accepts Medicare assignment. Licensed in Illinois and Indiana.

Years since qualifying
20
Licensed in
IL, IN
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1500 E Medical Center Dr B1-380 Tc
Ann Arbor, MI 48109-0999
Phone: (734) 763-7919
Fax: (734) 763-9298
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 036125024 (IL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 01082995A (IN)

Record details

NPI number1578680278
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2007
Last updated in NPPESFebruary 17, 2022
Certification dateFebruary 17, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Cep America Llc — 985 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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