Lavigne, Debra

Lavigne, Debra is an individual health care provider with primary practice located at 209 W State St , Ithaca NY 14850-5429. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lavigne, Debra can be contacted via phone (607) 257-5263.

Contact Information

Primary practice address
209 W State St Ithaca NY 14850-5429
Phone: (607) 257-5263
Fax: (607) 216-0902
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F3017681 New York

Profile Details

NPI number 1801945969
LBN Legal business name Lavigne, Debra
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Mar 7th, 2023 - about last year

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 1801945969 NPPES
New York Other F3017681 NYS LICENSE NUMBER
New York MEDICAID 01777779 NYS LICENSE NUMBER

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