REBECCA TYSON LAVENDER

ROCHESTER, NY
NPI1235456955
Former NameREBECCA TYSON CORNELISON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NY  266403)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2010-04-21
Last Update Date2023-03-21
Business Address
REBECCA TYSON LAVENDER MD
454 E BROAD ST SUITE 100
ROCHESTER, NY 14607-1724
Phone number: 585-276-7640
Mailing Address
REBECCA TYSON LAVENDER MD
601 ELMWOOD AVE BOX 278980
ROCHESTER, NY 14642-0001
Phone number: 585-276-7640