Individual
RACHEL LAVENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
3000 COLISEUM DR, HAMPTON, VA 23666-5963
(757) 736-1000
Mailing address
523 GRAY AVE, WINCHESTER, VA 22601-5306
(540) 664-2368
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110005702
VA
Other
Enumeration date
03/24/2017
Last updated
03/24/2017
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