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NPI Code Detail

MEDICARE: DR. KIMBERLY M LAVIGNE MD

MEDICARE: DR. KIMBERLY M LAVIGNE MD
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
12084P0800XPsychiatry Physician202961LA

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 : 1902067168
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KIMBERLY M LAVIGNE MD
Provider Business Mailing Address
First Line : 3439 MAGAZINE ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70115-2446
Country : US
Telephone Number : 504-891-8808
Fax Number :
Provider Business Practice Location Address
First Line : 3439 MAGAZINE ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70115-2446
Country : US
Telephone Number : 504-891-8808
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2008
Last Update Date : 04/25/2012

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