Individual
EUGENIA LAVANANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 S ORANGE AVE, SOUTH ORANGE, NJ 07079-2646
(973) 275-2486
Mailing address
PO BOX 686, DINGMANS FERRY, PA 18328-0686
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/07/2017
Last updated
11/07/2017
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