Healthcare Provider Details

I. General information

NPI: 1609862473
Provider Name (Legal Business Name): GREGORY SCOTT LAVIGNE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2005
Last Update Date: 01/23/2025
Certification Date: 01/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HEALTH PARK DR
HENDERSONVILLE NC
28792
US

IV. Provider business mailing address

PO BOX 1869
FLETCHER NC
28732-1869
US

V. Phone/Fax

Practice location:
  • Phone: 828-274-7367
  • Fax: 828-998-9056
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number2015-01080
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: