ZACHERY LAVENDER

EIELSON AFB, AK
NPI1487422390
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date2023-12-20
Last Update Date2025-10-07
Business Address
ZACHERY LAVENDER IDMT-P
2630 CENTRAL AVE
EIELSON AFB, AK 99702-2301
Phone number: 907-377-7835
Mailing Address
ZACHERY LAVENDER IDMT-P
2630 CENTRAL AVE
EIELSON AFB, AK 99702-2301
Phone number: 907-377-7835
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