Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot |
213ES0131X | 48 | Podiatry | |
Customized Equipment |
332BC3200X | 87 | All Other Suppliers |
| NPI Number | 1407035116 |
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| LBN Legal business name | RONALD G LAVENDA DPM ASSOCIATES PC | ||||||||
| Authorized official | RONALD LAVENDA - (PRESIDENT) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | Yes | ||||||||
| Enumeration date | 10/30/2007 | ||||||||
| Last updated | 05/11/2009 - About 17 years ago | ||||||||
| Identifiers |
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