Zachery Lavender, IDMT-P
NPI #1487422390 in Eielson Afb, Alaska
Provider Information
- NPI Number
- 1487422390
- Entity Type
- Individual
- Name
- Zachery Lavender, IDMT-P
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Military Health Care Provider - Independent Duty Medical Technicians
- Credential
- IDMT-P
- Enumeration Date
- Dec 20, 2023
- Last Updated
- Oct 7, 2025
Practice Location
- Address
- 2630 CENTRAL AVE
- City
- Eielson Afb
- State
- Alaska
- ZIP Code
- 99702-2301
- Phone
- (907) 377-7835
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Medical Technicians — Independent Duty Medical Technicians |
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