Individual
KERRI LAVIGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2727 HEARNE AVE, 300, SHREVEPORT, LA 71103-3917
(318) 798-9400
Mailing address
2727 HEARNE AVE, 300, SHREVEPORT, LA 71103-3917
(318) 798-9400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7788
AZ
Other
Enumeration date
12/14/2016
Last updated
01/19/2021
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