Individual
AMANDA R LAVIGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
675 N CAUSEWAY BLVD, MANDEVILLE, LA 70448-4600
(985) 200-3530
(985) 202-2010
Mailing address
675 N CAUSEWAY BLVD, MANDEVILLE, LA 70448-4600
(985) 200-3530
(985) 202-2010
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
222047
LA
Other
Enumeration date
10/05/2021
Last updated
09/08/2025
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