Lavigna, Richard Charles

Lavigna, Richard Charles is an individual health care provider with primary practice located at 2844 Summit St Ste 107 , Oakland CA 94609-3641. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Lavigna, Richard Charles can be contacted via phone (510) 463-3888.

Contact Information

Primary practice address
2844 Summit St Ste 107 Oakland CA 94609-3641
Phone: (510) 463-3888
Fax: (510) 433-0130
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E3779 California

Profile Details

NPI number 1952484495
LBN Legal business name Lavigna, Richard Charles
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated Sep 16th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952484495 NPPES
California MEDICAID 000E37792

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