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Individual

RICHARD CHARLES LAVIGNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
10644 CONCORD RD, BRENTWOOD, TN 37027-8875
(615) 220-8788
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 239-2018

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
973
TN
213ES0103X
Foot & Ankle Surgery Podiatrist
E3779
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000E37792
CA
Enumeration date
10/20/2006
Last updated
04/07/2026
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