Organization Name: | RONALD G LAVENDA DPM ASSOCIATES PC |
NPI Number: | 1003022781 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RONALD G. LAVENDA (PRESIDENT) |
Mailing Address: | 201 Highland St Suite C Clinton Hospital Clinton |
State: | MA US |
Postal Code: | 015101037 |
Phone Number: | 9783683990 |
Fax Number: | 9783683993 |
NPI Enumeration Date: | 05/16/2007 |
NPI Last Update Date: | 10/30/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |