IVAN DOUGLAS LAVENDER

GALLIPOLIS, OH
NPI1518492578
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OH  APRN.CNP.020695)
Enumeration Date2017-04-27
Last Update Date2019-10-29
Business Address
IVAN DOUGLAS LAVENDER NP
3086 STATE ROUTE 160
GALLIPOLIS, OH 45631-8409
Phone number: 740-446-5500
Mailing Address
IVAN DOUGLAS LAVENDER NP
PO BOX 188
CHILLICOTHE, OH 45601-0188
Phone number: 740-773-4366
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