Individual
LAUREN JAVERNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1075 SW GRANDVIEW AVENUE, SUITE 200, GRANTS PASS, OR 97527-1706
(541) 479-8363
Mailing address
1075 SW GRANDVIEW AVENUE, SUITE 200, GRANTS PASS, OR 97527-1706
(541) 479-8363
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD203772
OR
390200000X
Student in an Organized Health Care Education/Training Program
BP10059315
TX
Other
Enumeration date
05/11/2017
Last updated
08/19/2021
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