LARRY ALAN LAVENDER

ROME, GA
NPI1790010528
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: GA  RN170718)
Enumeration Date2009-10-13
Last Update Date2009-10-13
Business Address
-- LARRY ALAN LAVENDER CRNA
304 TURNER MCCALL BLVD SW
ROME, GA 30165-5621
Phone number: 706-291-2131
Mailing Address
-- LARRY ALAN LAVENDER CRNA
20 PRESTWICK LOOP NW
CARTERSVILLE, GA 30120-7789
Phone number: 678-721-9981
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