Individual
ALEKSANDER VALENTINOVICH LAVRENOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
20548 VENTURA BLVD, SUITE 217, WOODLAND HILLS, CA 91364-6225
(917) 687-7528
Mailing address
20548 VENTURA BLVD, SUITE 217, WOODLAND HILLS, CA 91364-6225
(917) 687-7528
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
006226
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E 5019
CA
Other
Enumeration date
08/18/2009
Last updated
02/15/2017
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