| Provider / Organization | NPI | Date Certified |
|---|---|---|
| LISA JEANNE LAVIGNE | 1104296680 | 2024-09-08 |
Lisa Lavigne [F] graduated in 1999 and primarily specializes in Nurse Practitioner.
Lisa Jeanne Lavigne is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1104296680. Registration indicates Lisa Jeanne Lavigne is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers)
| PECOS ID | 1153624341 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Mrs. Lisa Jeanne Lavigne FNP-BC |
| Practice Office Address | 480 HAWTHORN ST NORTH DARTMOUTH, MA US |
| Practice Office Telephone | 5089739180 |
| Mailing Address | 200 MILL RD FAIRHAVEN, MA 027195252 US |
| Business Telephone | 5089739180 |
| Business Fax | 5089739185 |
| Code | Practice | License No State |
|---|---|---|
| 363L00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner All Other Specialties & Provider Types Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers | RN252272
MA |