| Organization Name: | RONALD G LAVENDA DPM ASSOCIATES PC |
| NPI Number: | 1407035116 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RONALD G LAVENDA (PRESIDENT) |
| Mailing Address: | 202 W Center St West Bridgewater |
| State: | MA US |
| Postal Code: | 02379 |
| Phone Number: | 5085801368 |
| Fax Number: | |
| NPI Enumeration Date: | 10/30/2007 |
| NPI Last Update Date: | 05/11/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 02/26/2009 |
| NPI Reactivation Date: | 05/11/2009 |
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: | |