Athena T Lavender
NPI #1740787621 in Harper Woods, Michigan
Provider Information
- NPI Number
- 1740787621
- Entity Type
- Individual
- Name
- Athena T Lavender
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Apr 9, 2018
- Last Updated
- Apr 9, 2018
Practice Location
- Address
- 19905 WASHTENAW ST
- City
- Harper Woods
- State
- Michigan
- ZIP Code
- 48225-2225
- Phone
- (313) 778-4290
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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