Individual
LISA LAVIGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
161 JACKSON ST, LOWELL, MA 01852-2103
(603) 937-9700
Mailing address
161 JACKSON ST, LOWELL, MA 01852-2103
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
RN10023191
MA
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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