Lavender, Katherine Rebecca
Lavender, Katherine Rebecca is an sole proprietor health care provider with primary practice located at 750 Round Valley Dr Suite 102, Park City UT 84060-7548. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Lavender, Katherine Rebecca can be contacted via phone (435) 655-0926.Contact Information
Primary practice address
750 Round Valley Dr Suite 102
Park City UT 84060-7548
Phone: (435) 655-0926
Fax: (435) 649-3748
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 6360349-1205 | Utah |
Profile Details
| NPI number | 1326229550 |
|---|---|
| LBN Legal business name | Lavender, Katherine Rebecca |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2007 |
| Last updated | Jul 26th, 2013 - about 12 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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