Lavender, Athena T

Lavender, Athena T is an individual health care provider with primary practice located at 19905 Washtenaw St , Harper Woods MI 48225-2225. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Lavender, Athena T can be contacted via phone (313) 778-4290.

Contact Information

Primary practice address
19905 Washtenaw St Harper Woods MI 48225-2225
Phone: (313) 778-4290
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 4703098328 Michigan

Profile Details

NPI number 1740787621
LBN Legal business name Lavender, Athena T
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2018
Last updated Apr 9th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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