NPI 1073850178

Judy Lavenson, PA

Practitioner Physician Assistant Wailuku, HI

Practice location

Address: 2180 Main St, Wailuku, HI 96793-1625
Phone: (808) 242-6464

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence AMD-487 (HI)

Other Physician Assistant providers in Hawaii →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA-12486 (CA)

Registry record

NPI: 1073850178
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Jan 2013
Record last updated: 9 Jan 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.