Individual
MRS. JANE ANN LAVIGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
4 EXECUTIVE PARK DR, 2ND FLOOR, ALBANY, NY 12203-3717
(518) 435-1231
(518) 512-3574
Mailing address
4 EXECUTIVE PARK DR, 2ND FLOOR, ALBANY, NY 12203-3717
(518) 435-1231
(518) 512-3574
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
367062-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01941813
—
NY
01
—
131837
VALUEOPTIONS
NY
01
—
378070
MVP
NY
01
—
7493042002
GHI
NY
Enumeration date
01/06/2007
Last updated
06/01/2021
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