Individual
MS. MELISSA LAVIGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1199 HARRIS AVE, TAWAS CITY, MI 48763-9681
(989) 362-8636
Mailing address
1199 HARRIS AVE, TAWAS CITY, MI 48763-9681
(989) 362-8636
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704306905
MI
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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