Individual
DR. MICHELE LAVERGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4306 N UNIVERSITY AVE, CARENCRO, LA 70520-3904
(337) 896-3062
Mailing address
4306 N UNIVERSITY AVE, CARENCRO, LA 70520-3904
(337) 896-3062
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4629
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407970189
NPI NUMBER, ORGANIZATIONAL
LA
Enumeration date
10/17/2017
Last updated
10/17/2017
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