JUDY LAVENSON PA

MAUI MEDICAL GROUP INC

Dr JUDY LAVENSON PA is a female medical professional, specializing in Physician Assistant. She graduated in 1989 from Stanford University School Of Medicine.

Contact

MAUI MEDICAL GROUP INC

130 PRISON ST
LAHAINA
HI
967611247

Tel: 8086610051

JUDY LAVENSON PA Information

Npi 1073850178
Pac Id 5193704369
Professional Enrollment Id I20130321000361
Last Name LAVENSON
First Name JUDY
Middle Name
Suffix
Gender F
Credential PA
Medical School Name STANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1989
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name MAUI MEDICAL GROUP INC
Group Practice Pac Id 7214823368
Number Of Group Practice Members 74
Line 1 Street Address 130 PRISON ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City LAHAINA
State HI
Zip Code 967611247
Phone Number 8086610051
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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