Organization
RONALD G LAVENDA DPM ASSOCIATES PC
Active
Parent organization
RONALD G LAVENDA DPM ASSOCIATES PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
RONALD G LAVENDA DPM ASSOCIATES PC
Authorized official
RONALD G LAVENDA DPM (PRESIDENT)
(508) 580-1368
Entity
Organization
Contact information
Practice address
202 W CENTER ST, WEST BRIDGEWATER, MA 02379
(508) 580-1368
Mailing address
39 BROWNLEA RD, FRAMINGHAM, MA 01701-4253
(508) 580-1368
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
—
MA
332BC3200X
Customized Equipment (DME)
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9737014
—
MA
01
—
Y77031
BSBC
MA
Enumeration date
10/30/2007
Last updated
05/11/2009
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