Lavigne, Suzette D

Lavigne, Suzette D is an individual health care provider with primary practice located at 111 N Huron St Suite 200, Ypsilanti MI 48197-2676. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Lavigne, Suzette D can be contacted via phone (734) 547-7977.

Contact Information

Primary practice address
111 N Huron St Suite 200 Ypsilanti MI 48197-2676
Fax: (734) 547-7978
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301068041 Michigan
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301068041 Michigan
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 4301068041 Michigan

Profile Details

NPI number 1891722740
LBN Legal business name Lavigne, Suzette D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Jan 22nd, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891722740 NPPES
Michigan MEDICAID 4251125

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