Individual
MR. ALAN R LAVENDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
200 PROVIDENCE HIGHWAY, DEDHAM, MA 02026
(781) 326-8332
(781) 326-8262
Mailing address
200 PROVIDENCE HIGHWAY, DEDHAM, MA 02026
(781) 326-8332
(781) 326-8262
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17230
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
494299
TUFTS
MA
01
—
613720
HARVARD PILGRIM HLTH CARE
—
01
—
6400217
UNITED HEALTHCARE
—
01
—
817690
AETNA
—
01
—
P00289050
RR MEDICARE
—
01
—
Y68462
BLUE CROSS BLUE SHIELD
MA
Enumeration date
09/15/2006
Last updated
07/08/2007
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