Provider Information for 1306438908
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
Ms. MARIE JEANNE LAVIGNE LCSW
Sex: Female
NPI: 1306438908
Last Updated: 2021-02-05
Certification Date: 2021-02-05
Certification Date: 2021-02-05
Details
| Name | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1306438908 | ||||||||||||||
| Enumeration Date | 2021-02-05 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | YES | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | PO BOX 210044 ANCHORAGE, AK 99521-0044 United States Phone: 907-240-2482 | Fax: | ||||||||||||||
| Primary Practice Address | 6703 LUNAR DR ANCHORAGE, AK 99504-4575 United States Phone: 907-240-2482 | Fax: | ||||||||||||||
| Secondary Practice Address(es) | |||||||||||||||
| Health Information Exchange |
| ||||||||||||||
| Other Identifiers |
| ||||||||||||||
| Taxonomy |
|