Individual
NICOLE LAVIGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
529 TALCOTTVILLE RD, VERNON, CT 06066-2311
(860) 871-6068
Mailing address
695 TALCOTTVILLE RD APT 40B, VERNON, CT 06066-2349
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0015615
CT
Other
Enumeration date
09/26/2021
Last updated
09/26/2021
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