Shaneka A Lavender, Cota/L

Specialty details in registry · Chandler, AZ

Call (678) 458-0699 Directions

At a glance

55 S 133Rd St, Chandler, AZ 85225-6014

NPPES record updated Sep 14, 2016. Public records can lag behind changes at a practice.

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Practice location

55 S 133Rd St
Chandler, AZ 85225-6014
Professional details: NPI, taxonomy & registry record
NPI1063960425
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
224Z00000X
Enumeration date
Sep 14, 2016
Record updated
Sep 14, 2016
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

224Z00000X · Primary

License reported: 5558 AZ

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

55 S 133Rd St
Chandler, AZ 85225-6014
Phone
(678) 458-0699
Mailing address
55 S 133RD ST

CHANDLER, AZ 852256014
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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