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NPI Code Detail

MEDICARE: DR. WILLIAM FRANKLIN LAVIGNA DDS

MEDICARE:  DR. WILLIAM FRANKLIN LAVIGNA  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist14847OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871584870
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM FRANKLIN LAVIGNA DDS
Provider Business Mailing Address
First Line : 11201 SHAKER BLVD
Second Line :
City : CLEVELAND
State : OH
Zip : 44104-3833
Country : US
Telephone Number : 216-368-7238
Fax Number : 216-791-8322
Provider Business Practice Location Address
First Line : 11201 SHAKER BLVD
Second Line :
City : CLEVELAND
State : OH
Zip : 44104-3869
Country : US
Telephone Number : 216-368-7238
Fax Number : 216-791-8322
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2005
Last Update Date : 09/17/2007

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Directions to “ DR. WILLIAM FRANKLIN LAVIGNA DDS” Practice Location

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