| Doctor Name: | RONALD G. LAVENDA |
| NPI Number: | 1003812280 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | 1471 |
| Business Practice Address: | 201 Highland St Suite C Clinton Hospital Clinton, MA - 015101037 |
| Business Phone Number: | 9783683990 |
| Business Fax Number: | 9783683993 |
| Mailing Address: | 201 Highland St, Suite C Clinton Hospital CLINTON |
| State: | MA |
| Postal Code: | 015101037 |
| Phone Number: | 9783683990 |
| Fax Number: | 9783683993 |
| NPI Enumeration Date: | 06/22/2005 |
| NPI Last Update Date: | 12/03/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | 1471 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |