Individual
BILLINDA NICOLE LAVENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
718 BRANFORD RD, TROY, OH 45373-1140
(937) 339-4092
Mailing address
718 BRANFORD RD, TROY, OH 45373-1140
(937) 339-4092
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
351408
OH
Other
Enumeration date
03/20/2010
Last updated
03/20/2010
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