Lavender, Timothy R

Lavender, Timothy R is an sole proprietor health care provider with primary practice located at 108 N Auxier Ave , Pikeville KY 41501-9045. He recently has only one registered license in Allopathic & Osteopathic Physicians / Procedural Dermatology, which is considered as his primary health care specialty. Lavender, Timothy R can be contacted via phone (606) 432-9106.

Contact Information

Primary practice address
108 N Auxier Ave Pikeville KY 41501-9045
Phone: (606) 432-9106
Fax: (606) 432-0967
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 02627 Kentucky

Profile Details

NPI number 1669426003
LBN Legal business name Lavender, Timothy R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 20th, 2006
Last updated Aug 7th, 2017 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1669426003 NPPES
Kentucky MEDICAID 64005812

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