Ivan Douglas Lavender, NP
NPI #1518492578 in Gallipolis, Ohio
Provider Information
- NPI Number
- 1518492578
- Entity Type
- Individual
- Name
- Ivan Douglas Lavender, NP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- NP
- Enumeration Date
- Apr 27, 2017
- Last Updated
- Oct 29, 2019
Practice Location
- Address
- 3086 STATE ROUTE 160
- City
- Gallipolis
- State
- Ohio
- ZIP Code
- 45631-8409
- Phone
- (740) 446-5500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
Additional Practice Locations
500 Burlington Rd
Jackson, OH, 45640-9360
(740) 286-5075
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