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
State
Ohio
ZIP Code
45631-8409
Phone
(740) 446-5500

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

Additional Practice Locations

500 Burlington Rd

Jackson, OH, 45640-9360

(740) 286-5075

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