Individual
THADDEUS J. LAVIGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
28050 WALKER RD S STE L, WALKER, LA 70785-6047
(225) 664-2111
(225) 664-2888
Mailing address
PO BOX 2668, HAMMOND, LA 70404-2668
(985) 230-3653
(985) 370-7409
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP05168
LA
Other
Enumeration date
05/17/2007
Last updated
12/23/2022
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