NPI 1487422390

Zachery Lavender, IDMTP

Practitioner Independent Duty Medical Technicians Eielson Afb, AK

Practice location

Address: 2630 Central Ave, Eielson Afb, AK 99702-2301
Phone: (907) 377-7835

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

Other Military Health Care Provider providers in Alaska →

Registry record

NPI: 1487422390
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Dec 2023
Record last updated: 7 Oct 2025

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.