Individual
DR. ANTHONY G LAVENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
317 EAST FIRST, TOK, AK 99780-0317
(907) 883-7777
Mailing address
PO BOX 317, TOK, AK 99780-0317
(907) 883-7777
Taxonomy
Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
AA307
AK
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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