Individual
DR. JAY WAYNE LAVIGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
277 WHITE ST NE, ABINGDON, VA 24210-2913
(276) 628-4335
(276) 628-3195
Mailing address
277 WHITE ST NE, ABINGDON, VA 24210-2913
(276) 628-4335
(276) 628-3195
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101043601
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010380855
—
VA
05
—
1073509568
—
VA
05
—
Q023274
—
SD
Enumeration date
09/21/2005
Last updated
02/15/2017
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