Individual
MS. JANINE MARIE LAVIGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 13TH ST S, VIRGINIA, MN 55792-3254
(218) 741-6603
Mailing address
1210 3RD ST W, EVELETH, MN 55734-1219
(218) 290-7945
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
2338
MN
183500000X
Pharmacist
Primary
119364
MN
Other
Enumeration date
05/15/2006
Last updated
03/23/2020
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