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Individual

ALISON LAVIGNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D,

Contact information

Practice address
4901 TELSA DR, SUITE A & B, BOWIE, MD 20715-4406
(301) 805-6860
(301) 805-0755
Mailing address
PO BOX 418837, BOSTON, MA 02241-8837
(607) 324-2340
(607) 324-7615

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
D45414
MD

Other

Enumeration date
10/23/2009
Last updated
04/18/2012
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