Active NPIIndividual provider

Zachary R Lavender, PA-C

Physician Assistant, Medical in Hartford, Connecticut

NPI Number1053864579
Practice location
80 Seymour St, Hh Medicine Department, Hartford, CT 06102-8000
Fax
—
Last updated
October 31, 2016

Zachary Richard Lavender is a Physician Assistant, Medical based in Hartford, CT. Zachary Richard Lavender practices in Hartford, CT and has the professional credentials of PA-C. The NPI Number for Zachary Richard Lavender is 1053864579 and holds a License No. 003689 (CT). The current practice location address for Zachary Richard Lavender is 80 Seymour St, Hh Medicine Department, Hartford, CT 06102-8000 and can be reached out via phone at 860-545-5000.

Provider Profile Details

NPI Number
1053864579
Provider Name
Zachary Richard Lavender
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
80 Seymour St, Hh Medicine Department, Hartford, CT 06102-8000
Phone Number
860-545-5000
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
August 2, 2016
Last Update Date
October 31, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
80 Seymour St
Hh Medicine Department
Hartford, CT 06102-8000
Zip
06102-8000
Phone Number
860-545-5000
Hartford, CT 06102Get directions →

Provider Business Mailing Address Details

Address
80 Seymour St
Hh Medicine Department
Hartford, CT 06102-8000
City
Hartford
State
CT
Zip
06102-8000

License Information

License Number (1)
003689
License State (1)
CT
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
003689
License State (2)
CT
Taxonomy (2)
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Zachary R Lavender, PA-C?

The NPI number of Zachary R Lavender, PA-C is 1053864579. It was assigned on August 2, 2016 and is currently active in the NPPES registry.

What is the specialty of Zachary R Lavender, PA-C?

Zachary R Lavender, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in CT under license number 003689.

Where does Zachary R Lavender, PA-C practice?

The practice location is 80 Seymour St, Hh Medicine Department, Hartford, CT 06102-8000. The office can be reached at 860-545-5000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053864579 directly on the NPPES registry website.

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