Individual
KYLEIGH MEGHAN LAVIGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-0000
Mailing address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-0000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-10637
NC
363A00000X
Physician Assistant
Primary
055.0031700
VT
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
09/06/2020
Last updated
10/16/2023
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