Individual
MRS. LISA LAVIGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
120 WOODHILL RD, BOW, NH 03304-5313
(603) 369-6483
Mailing address
120 WOODHILL RD, BOW, NH 03304-5313
(603) 369-6483
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1755
NH
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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