Individual
MRS. LISA JEANNE LAVIGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
480 HAWTHORN ST, NORTH DARTMOUTH, MA 02747-3729
(508) 973-9180
Mailing address
200 MILL RD, FAIRHAVEN, MA 02719-5252
(508) 973-9180
(508) 973-9185
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN252272
MA
Other
Enumeration date
09/28/2015
Last updated
09/08/2024
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