Individual
ALLEN LAVENDER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
ONE HOSPITAL DRIVE, DC018.00, COLUMBIA, MO 65212
(573) 882-8885
Mailing address
ONE HOSPITAL DRIVE, DC018.00, COLUMBIA, MO 65212
(573) 882-8885
(573) 884-5396
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2010019772
MO
Other
Enumeration date
07/01/2010
Last updated
07/01/2010
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