Individual
BRIGITTA S LAVERGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1150 N SISTER CATHERINE WAY, NAMPA, ID 83687
(208) 302-7000
(208) 302-7055
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 302-7000
(208) 302-7055
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
056490
GA
207Q00000X
Family Medicine Physician
Primary
M-10373
ID
Other
Enumeration date
11/20/2006
Last updated
07/21/2022
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