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Individual

DR. FERDINAND LAVENUTA

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1214 OAK ST N, FARGO, ND 58102-2707
(701) 293-7656
Mailing address
1214 OAK ST N, FARGO, ND 58102-2707
(701) 293-7656

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
3195
ND

Other

Enumeration date
06/01/2005
Last updated
07/08/2007
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