Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TIMOTHY R LAVENDER, D.O.
Active Sole ProprietorProcedural Dermatology · PIKEVILLE, KY
Registration Details
- NPI Number
- 1669426003
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 20, 2006 (19.922506772177 yrs)
- Last Updated
- Aug 7, 2017
- License
-
02627 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
108 N AUXIER AVEPIKEVILLE, KY, 415019045Browse KY providers · Browse ZIP 41501
- Phone
- 6064329106
- Fax
- 6064320967
- Primary Specialty
-
Procedural Dermatology
207NS0135X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.