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IVAN DOUGLAS LAVENDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
601 AVERY ST STE 100, PARKERSBURG, WV 26101-5192
(740) 416-2380
Mailing address
PO BOX 188, PARKERSBURG, WV 26101
(740) 416-2380

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.020695
OH

Other

Enumeration date
04/27/2017
Last updated
06/26/2026
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