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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:

Details

NameValue
NPI1245259670
Enumeration Date2006-07-18
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
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
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 170300000X - Genetic Counselor, MS
Yes 170300000X - Genetic Counselor, MS CT36