Organization
WILLIAM E LAVIGNE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM LAVIGNE MD (OWNER)
(706) 737-5939
Entity
Organization
Contact information
Practice address
2100 CENTRAL AVE, STE 2B, AUGUSTA, GA 30904
(706) 737-5939
(706) 737-6023
Mailing address
2100 CENTRAL AVE, STE 2B, AUGUSTA, GA 30904
(706) 737-5939
(706) 737-6023
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
02023L
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000258728C
—
GA
01
—
027816
BCBS
GA
05
—
G20231
—
SC
Enumeration date
04/06/2006
Last updated
03/21/2014
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