Individual
MS. CAROLINE LAVIGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A,
Contact information
Practice address
5151 N 9TH AVE, PENSACOLA, FL 32504-8721
(850) 416-6670
(850) 416-4694
Mailing address
5151 N 9TH AVE, PENSACOLA, FL 32504-8721
(850) 416-6670
(850) 416-4694
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9101630
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291128100
—
FL
Enumeration date
08/31/2006
Last updated
03/04/2024
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