Individual
MS. JOANNE B LAVIGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
321 GIFFORD ST, PEDIATRICS, SYRACUSE, NY 13204-3201
(315) 703-2600
(315) 703-2621
Mailing address
321 GIFFORD ST, PEDIATRICS, SYRACUSE, NY 13204-3201
(315) 703-2600
(315) 703-2621
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
282073
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
F-380747
NY
Other
Enumeration date
08/18/2006
Last updated
02/21/2015
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