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Individual

RUTH FAYE LAVIGNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
911 BYPASS RD BLDG A, PIKEVILLE, KY 41501-1689
(606) 218-3516
(606) 218-4540
Mailing address
PO BOX 432, PIKEVILLE, KY 41502-0432
(606) 218-3516
(606) 218-4540

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
39234
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000361685
ANTHEM
OH
05
200525660
IN
05
2547588
OH
01
36-01273
UNITED HEALTHCARE
OH
05
64096167
KY
01
7690706
AETNA
OH
Enumeration date
07/11/2006
Last updated
09/22/2022
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