IVAN DOUGLAS LAVENDER

PARKERSBURG, WV
NPI1518492578
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OH  APRN.CNP.020695)
Enumeration Date2017-04-27
Last Update Date2026-06-26
Business Address
IVAN DOUGLAS LAVENDER NP
601 AVERY ST STE 100
PARKERSBURG, WV 26101-5192
Phone number: 740-416-2380
Mailing Address
IVAN DOUGLAS LAVENDER NP
PO BOX 188
PARKERSBURG, WV 26101
Phone number: 740-416-2380
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