Individual provider · Type 1 NPI

Zachary Richard Lavender, PA-C

Medical Physician Assistant · Hartford, CT

NPI number 1053864579 Active

Practice location

80 Seymour St, Hh Medicine Department
Hartford, CT 06102-8000

Call (860) 545-5000 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X003689 (CT)
Medical Physician Assistant Primary 363AM0700X003689 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1053864579

Zachary Richard Lavender, PA-C's National Provider Identifier is 1053864579, issued on Aug 2, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Hartford, CT. The record was last updated on Oct 31, 2016.