Individual
BARBARA LAVOGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1439 W CLIFTON BLVD, LAKEWOOD, OH 44107-3308
(860) 559-2485
(440) 934-6147
Mailing address
1439 W CLIFTON BLVD, LAKEWOOD, OH 44107-3308
(860) 559-2485
(440) 934-6147
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12573NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0058385
—
OH
01
—
H036360
MEDICARE-(P-TAN)
OH
Enumeration date
09/16/2011
Last updated
07/23/2014
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