Javahn Lamar Iverson
Specialist/Technologist, Other, Surgical Assistant in Columbus, OH. Individual provider (NPI-1).
NPI number1154944239
StatusActive
Last updated in NPPESMay 22, 2020
Details
- NPI
- 1154944239
- Entity type
- Individual (NPI-1)
- Name
- Javahn Lamar Iverson
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 22, 2020
- Certification date
- May 22, 2020
- Last updated
- May 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246ZC0007X | Specialist/Technologist, Other, Surgical Assistant | – | – | Yes |
Practice location
3535 Olentangy River RdColumbus, OH 43214-3908
Phone 614-566-5000
Mailing address
1056 Winding Creek LnDelaware, OH 43015-7415
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