Individual
CHERYL ANN LAVIGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6315 FREMONT ROAD, EAST SYRACSUE, NY 13057
(315) 434-3440
Mailing address
6315 STATE ROUTE 31, CICERO, NY 13039-8809
(315) 699-7408
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/07/2011
Last updated
02/07/2011
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