Nichole Lavender, PA-C

NPI #1669071502 in Port Townsend, Washington

Provider Information

NPI Number: 1669071502
Entity Type: Individual
Name: Nichole Lavender, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 21, 2020
Last Updated: Feb 3, 2023

Practice Location

Address: 834 SHERIDAN ST STE B
City: Port Townsend
State: Washington
ZIP Code: 98368-2443
Phone: (360) 385-2200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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