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NPI Code Detail

MEDICARE: ALEKSEY LAVRINENKO DPT

MEDICARE: ALEKSEY LAVRINENKO DPT
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
1225100000XPhysical Therapist
2225100000XPhysical TherapistCP022567TNH

General Provider Information

NPI Number : 1851882724
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEKSEY LAVRINENKO DPT
Provider Business Mailing Address
First Line : 600 COUNTRY CLUB RD
Second Line :
City : EUGENE
State : OR
Zip : 97401-2240
Country : US
Telephone Number : 541-242-4172
Fax Number :
Provider Business Practice Location Address
First Line : 112 ETNA RD
Second Line :
City : LEBANON
State : NH
Zip : 03766-1559
Country : US
Telephone Number : 603-643-7788
Fax Number : 603-643-0022
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2018
Last Update Date : 07/14/2023

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Directions to “ ALEKSEY LAVRINENKO DPT” Practice Location

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