Individual
AUDREY LAVIGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
200 COMMUNITY DR, GREAT NECK, NY 11021-5510
(516) 474-3549
(516) 465-3216
Mailing address
200 COMMUNITY DR, GREAT NECK, NY 11021-5510
(516) 474-3549
(516) 465-3216
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
467222-1
NY
Other
Enumeration date
05/16/2016
Last updated
05/16/2016
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