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Individual

CATHERINE A LAVENDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
850 PETER BRYCE BLVD, TUSCALOOSA, AL 35401-7419
(205) 348-6700
(205) 348-6112
Mailing address
850 PETER BRYCE BLVD, TUSCALOOSA, AL 35401-7419
(205) 348-6700
(205) 348-6112

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24177
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00982215
AL
05
173727
AL
Enumeration date
09/21/2006
Last updated
07/21/2022
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