TIMOTHY R LAVENDER

PIKEVILLE, KY
NPI1669426003
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207NS0135X Dermatology, Procedural Dermatology
(Licence: KY  02627)
Enumeration Date2006-05-20
Last Update Date2017-08-07
Business Address
Dr. TIMOTHY R LAVENDER D.O.
108 N AUXIER AVE
PIKEVILLE, KY 41501-9045
Phone number: 606-432-9106
Mailing Address
Dr. TIMOTHY R LAVENDER D.O.
108 N AUXIER AVE
PIKEVILLE, KY 41501-9045
Phone number: 606-432-9106