National Provider Identifier

Jennifer Lavanga, M.D.

Jennifer Lavanga, M.D. is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Geneva, NY and a listed phone number of (315) 787-5100.

NPI 1073812368Geneva, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1073812368
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
March 25, 2011
Last Updated
September 11, 2025

Practice Location

  • 200 North St Ste 101
  • Geneva, NY 14456-1561

Phone: (315) 787-5100

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1073812368
Entity Type
Individual
Last Name
Lavanga
First Name
Jennifer
Credential
M.D.
Mailing Street Address
200 North St Ste 101
Mailing City
Geneva
Mailing State
NY
Mailing ZIP Code
14456-1561
Mailing Country
US
Mailing Phone
(315) 787-5100
Practice Street Address
200 North St Ste 101
Practice City
Geneva
Practice State
NY
Practice ZIP Code
14456-1561
Practice Country
US
Practice Phone
(315) 787-5100
Enumeration Date
March 25, 2011
Last Updated
September 11, 2025
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)