Individual
DR. RONALD M LAVIGNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1400 PROFESSIONAL DRIVE, SUITE 102, PETALUMA, CA 94954
(707) 769-8481
(707) 769-0751
Mailing address
1400 PROFESSIONAL DRIVE, SUITE 102, PETALUMA, CA 94954
(707) 769-8481
(707) 769-0751
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E1458
CA
Other
Enumeration date
11/24/2006
Last updated
07/08/2007
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