Dr. Charles Michel Lavigne
Neurologist
4420 Lake Boone Trl
Raleigh
, North Carolina 27607-7505
Dr. Charles Michel Lavigne
Neurologist
4420 Lake Boone Trl
Raleigh
, North Carolina 27607-7505
(984) 363-5092
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About
Features
Specialties
- Neurologist
Languages spoken
- English
Location
First Address
- Dr. Charles Michel Lavigne
- 4420 Lake Boone Trl
- Raleigh, NC
- Zip : 27607-7505
- Phone : (984) 363-5092
Second Address
- Dr. Charles Michel Lavigne
- 4420 Lake Boone Trl
- Raleigh, NC
- Zip : 27607-7505
- Phone : (919) 784-7093
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2084N0400X | Neurologist | 2018-01464 | NC |
| N | 2084N0400X | Neurologist | 251607 | NY |
National Provider Identifier
| NPI | 1023138799 |
|---|---|
| Provider Name | Dr. Charles Michel Lavigne |
| First Address | Raleigh, NC 27607-7505 |
| Second Address | Raleigh, NC 27607-7505 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/03/2007 |
| Last Update Date | 30/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 03100850 | (05) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.