NPI 1245347483

Paul D. Lavigne, EMT

Practitioner Technician Apo, AE

Practice location

Address: Usahc Graf Cmr 415, Apo, AE 09114
Phone: 09641837152
Mailing address: Cmr 415 Box 3569, Apo, AE 09114

Registered specialties

Technician Primary

Nursing Service Related Providers Taxonomy 374700000X Licence B1498591 (TX)

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Registry record

NPI: 1245347483
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Aug 2006
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.