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1669426003
TIMOTHY R LAVENDER
PIKEVILLE, KY
NPI
1669426003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207NS0135X Dermatology, Procedural Dermatology
(Licence: KY 02627)
Enumeration Date
2006-05-20
Last Update Date
2017-08-07
Business Address
Dr. TIMOTHY R LAVENDER D.O.
108 N AUXIER AVE
PIKEVILLE, KY 41501-9045
Phone number: 606-432-9106
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Mailing Address
Dr. TIMOTHY R LAVENDER D.O.
108 N AUXIER AVE
PIKEVILLE, KY 41501-9045
Phone number: 606-432-9106
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