Individual
DR. MARK LAVIGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1415 N ARIZONA AVE, GILBERT, AZ 85233-1616
(480) 293-0052
(480) 293-0060
Mailing address
3557 E DUBLIN ST, GILBERT, AZ 85295-3510
(480) 213-5950
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S012801
AZ
Other
Enumeration date
08/15/2014
Last updated
08/15/2014
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