Individual
JASON JAMES LA VIGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
37595 7 MILE RD, SUITE 210, LIVONIA, MI 48152-1003
(734) 853-5660
Mailing address
37595 7 MILE RD, SUITE 210, LIVONIA, MI 48152-1003
(734) 853-5660
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301109818
MI
Other
Enumeration date
04/08/2016
Last updated
02/13/2020
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