Individual
NICHOLAS ROBERT LAVIGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
539 N MARKET BLVD STE C, CHEHALIS, WA 98532-2109
(540) 203-8697
(270) 203-0587
Mailing address
100 N HOWARD ST STE R, SPOKANE, WA 99201-0508
(540) 999-5883
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
LH00004836
WA
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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