Alexandre Ivanov
NPI #1851269823 in Lawrenceville, Georgia
Provider Information
- NPI Number
- 1851269823
- Entity Type
- Individual
- Name
- Alexandre Ivanov
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist - Nutrition Support
- Enumeration Date
- Oct 29, 2025
- Last Updated
- Oct 29, 2025
Practice Location
- Address
- 2512 YOUNG AMERICA DR
- City
- Lawrenceville
- State
- Georgia
- ZIP Code
- 30043-8002
- Phone
- (909) 224-4220
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist - Nutrition Support — Nutrition Support |
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