Lavengood, John Steve
Lavengood, John Steve is an individual health care provider with primary practice located at 1970 E 3Rd Ave # Until1 , Durango CO 81301-5056. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lavengood, John Steve can be contacted via phone (970) 335-2288.Contact Information
Primary practice address
1970 E 3Rd Ave # Until1
Durango CO 81301-5056
Phone: (970) 335-2288
Fax: (970) 335-2280
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 28293 | Colorado |
Profile Details
NPI number | 1619020435 |
---|---|
LBN Legal business name | Lavengood, John Steve |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 18th, 2007 |
Last updated | Dec 6th, 2021 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1619020435 | NPPES |
Colorado | MEDICAID | 01282938 |
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