Lavigne, Kerry Allison

Lavigne, Kerry Allison is an individual health care provider with primary practice located at 195 Union St , Rockport ME 04856-6107. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is her primary health care specialty. Lavigne, Kerry Allison can be contacted via phone (207) 706-5030.

Contact Information

Primary practice address
195 Union St Rockport ME 04856-6107
Phone: (207) 706-5030
Fax: (877) 343-6641
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Virginia
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X MD19615 Maine

Profile Details

NPI number 1700052792
LBN Legal business name Lavigne, Kerry Allison
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2008
Last updated Oct 25th, 2021 - about 4 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 1700052792 NPPES
Maine MEDICAID 1215440011

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