Lavender, Elizabeth Rose

Lavender, Elizabeth Rose is an individual health care provider with primary practice located at 2100 Dorchester Ave , Dorchester MA 02124. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Lavender, Elizabeth Rose can be contacted via phone (617) 506-4993.

Contact Information

Primary practice address
2100 Dorchester Ave Dorchester MA 02124
Phone: (617) 506-4993
Fax: (617) 474-3836
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 224262 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 224262 Massachusetts

Profile Details

NPI number 1780015446
LBN Legal business name Lavender, Elizabeth Rose
Credentials AGNP, PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2013
Last updated Nov 27th, 2023 - about 2 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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