Alexandre Ivanov
Alexandre Ivanov is a Nutrition Support Pharmacist in Lawrenceville, Georgia. Practices as a sole proprietor. Licensed in Georgia.
- Licensed in
- GA
- In the registry since
- 2025
Practice location Address checks out
2512 Young America DrLawrenceville, GA 30043-8002
Phone: (909) 224-4220
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nutrition Support Pharmacist (primary) | Taxonomy 1835N1003X · Licence RPH029265 (GA) |
|---|
Record details
| NPI number | 1851269823 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 29, 2025 |
| Last updated in NPPES | October 29, 2025 |
| Certification date | October 29, 2025 |