Individual
DR. KERRY ALLISON LAVIGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
195 UNION ST, ROCKPORT, ME 04856-6107
(207) 706-5030
(877) 343-6641
Mailing address
195 UNION ST, ROCKPORT, ME 04856-6107
(207) 706-5030
(877) 343-6641
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
MD19615
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215440011
—
ME
Enumeration date
04/30/2008
Last updated
10/25/2021
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