Individual
MR. DAVID WILLIAM LAVENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2201 MENAUL BLVD NE STE A, ALBUQUERQUE, NM 87107-1711
(505) 933-9320
Mailing address
MSC 09 5040 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131
(505) 272-6607
(505) 272-8045
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2022-1225
NM
Other
Enumeration date
05/15/2019
Last updated
07/21/2023
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