Individual
DENA DUNN LAVENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
2645 N 3RD ST, HARRISBURG, PA 17110-2001
(717) 216-3239
Mailing address
2645 N 3RD ST, HARRISBURG, PA 17110-2001
(717) 216-3239
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN519765L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171717
—
PA
Enumeration date
04/09/2020
Last updated
04/09/2020
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