Organization
RONALD G LAVENDA DPM ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD G. LAVENDA DPM (PRESIDENT)
(978) 368-3990
Entity
Organization
Contact information
Practice address
201 HIGHLAND ST, SUITE C CLINTON HOSPITAL, CLINTON, MA 01510-1037
(978) 368-3990
(978) 368-3993
Mailing address
39 BROWNLEA RD, FRAMINGHAM, MA 01701-4253
(978) 368-3990
(978) 368-3993
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
—
MA
332BC3200X
Customized Equipment (DME)
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9737014
—
MA
01
—
Y77031
BCBS
MA
Enumeration date
05/16/2007
Last updated
10/30/2007
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