Provider Information for 1245259670
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Ms. SHARON A. LAVIGNE MS, LGC
Sex: Female
NPI: 1245259670
Last Updated: 2016-11-10
Certification Date:
Certification Date:
Details
Name | Value | ||||||||||||
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NPI | 1245259670 | ||||||||||||
Enumeration Date | 2006-07-18 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | NO | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 263 FARMINGTON AVE FARMINTON, CT 06030-6036 United States Phone: 860-679-3671 | Fax:860-523-6465 | ||||||||||||
Primary Practice Address | 263 FARMINGTON AVE FARMINGTON, CT 06030-6036 United States Phone: 860-679-3671 | Fax:860-679-0147 | ||||||||||||
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