Individual
ANGELA LEE LAVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2116 N BOLTON AVE STE A, ALEXANDRIA, LA 71303-4405
(318) 445-1250
(318) 445-1493
Mailing address
2116 N BOLTON AVE STE A, ALEXANDRIA, LA 71303-4405
(318) 445-1250
(318) 445-1493
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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