Individual
LAURA LYNN LAVENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5608 SW 9TH ST, DES MOINES, IA 50315-5003
(515) 285-3070
(515) 285-0820
Mailing address
5608 SW 9TH ST, DES MOINES, IA 50315-5003
(515) 298-3070
(515) 285-0820
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
090629
IA
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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