Individual
LAUREN LAVENDER PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
801 PRINCETON AVE SW STE 229, BIRMINGHAM, AL 35211-1322
(205) 783-3505
Mailing address
1130 22ND ST S STE 1000, BIRMINGHAM, AL 35205-2881
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36318
AL
Other
Enumeration date
04/26/2016
Last updated
08/27/2019
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