MEDICARE: MICHELLE LAVENDER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376K00000X	Nurse's Aide	371943240294	OH
2	163WH0200X	Home Health Registered Nurse	371943240204	OH

General Provider Information

NPI Number	:	1558734814
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE LAVENDER

Provider Business Mailing Address
First Line	:	2041 FAIRPORT AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45406-3416
Country	:	US
Telephone Number	:	513-501-6503
Fax Number	:

Provider Business Practice Location Address
First Line	:	2041 FAIRPORT AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45406-3416
Country	:	US
Telephone Number	:	513-501-6503
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2015
Last Update Date	:	11/09/2015

Similar Medicare Providers

1730069865 — SHERRI NELSON
Practice Location Address:

3416 BARBEE DR
DAYTON, OH
45406-1105

Practice Phone: 937-275-1621
Practice Fax:

1336810670 — MRS. LISA L WEBER RN
Practice Location Address:

2000 FOX RUN RD
DAYTON, OH
45459-3416

Practice Phone: 937-499-4043
Practice Fax:

1386408748 — RALPHEAL BERRY
Practice Location Address:

215 E FAIRVIEW AVE
DAYTON, OH
45405-3416

Practice Phone: 380-223-7219
Practice Fax:

1275480527 — V & J TRANSPORTATION LLC
Practice Location Address:

2216 FALMOUTH AVE
DAYTON, OH
45406-2515

Practice Phone: 937-559-1366
Practice Fax:

1013887108 — DR. SIERRA NORVELL DMD
Practice Location Address:

3740 SALEM AVE
DAYTON, OH
45406-1630

Practice Phone: 937-278-9126
Practice Fax:

1578411096 — HEALING STEPS
Practice Location Address:

3933 LARKSPUR DR
DAYTON, OH
45406-3418

Practice Phone: 937-546-5729
Practice Fax:

Directions to “ MICHELLE LAVENDER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.