Judy Lavenson, PA

NPI #1073850178 in Wailuku, Hawaii

Provider Information

NPI Number: 1073850178
Entity Type: Individual
Name: Judy Lavenson, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jan 9, 2013
Last Updated: Jan 9, 2013

Practice Location

Address: 2180 MAIN ST
City: Wailuku
State: Hawaii
ZIP Code: 96793-1625
Phone: (808) 242-6464

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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