Fenderson, Lavon

Fenderson, Lavon is an sole proprietor health care provider with primary practice located at 2858 Sunset Blvd , West Columbia SC 29169-3420. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Fenderson, Lavon can be contacted via phone (803) 699-9073.

Contact Information

Primary practice address
2858 Sunset Blvd West Columbia SC 29169-3420
Phone: (803) 699-9073
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 18887 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 18887 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 18897 South Carolina

Profile Details

NPI number 1285040329
LBN Legal business name Fenderson, Lavon
Credentials DNP, FNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 9th, 2014
Last updated Jul 9th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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