Andrew Lavergne, IDC

NPI #1053670505 in Virginia Beach, Virginia

Provider Information

NPI Number
1053670505
Entity Type
Individual
Name
Andrew Lavergne, IDC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Military Health Care Provider - Independent Duty Corpsman
Credential
IDC
Enumeration Date
May 3, 2012
Last Updated
May 3, 2012

Practice Location

Address
1900 GATOR BLVD
Address 2
BLDG 3808
ZIP Code
23459-8950
Phone
(757) 763-2900

Specialties & Taxonomy Codes

Specialty
Military Health Care Provider - Independent Duty CorpsmanIndependent Duty Corpsman

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