Alexandre Ivanov
Nutrition Support
2512 Young America Dr, Lawrenceville
Georgia, 30043-8002
909-224-4220 Alexandre Ivanov is a pharmacist who is specialized in Nutrition Support in Lawrenceville, Georgia. Patients can reach him at 2512 Young America Dr, Lawrenceville or contact him on 909-224-4220. Active license number of Alexandre Ivanov is RPH029265 for Nutrition Support in Georgia.
Alexandre Ivanov is a licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs.
Complete Profile:
Alexandre Ivanov speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for enquiries.
| Name: | Alexandre Ivanov |
| Specialization: | Nutrition Support |
| Gender: | Male |
| Location: | 2512 Young America Dr, Lawrenceville,
Georgia, 30043-8002 |
| Phone: | 909-224-4220 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of Alexandre Ivanov are as mentioned below.
| NPI Number: | 1851269823 |
| NPI Enumeration Date: | 29 Oct, 2025 |
| NPI Last Update On: | 29 Oct, 2025 |
Medical Licenses:
Pharmacists can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Alexandre Ivanov are as mentioned below.
| Specialization | License Number | State | Status | |
| Nutrition Support | RPH029265 | Georgia | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2512 Young America Dr,
Lawrenceville, Georgia |
| Zip: | 30043-8002 |
| Phone Number: | -- |
Patients can reach Alexandre Ivanov at
2512 Young America Dr, Lawrenceville, Georgia or can
call on phone at 909-224-4220.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.