Provider Demographics
NPI:1922250109
Name:LAVIGNE, KATHERINE RAWLINGS (RN)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:RAWLINGS
Last Name:LAVIGNE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4608 STOCKHOLM DR
Mailing Address - Street 2:
Mailing Address - City:SANDSTON
Mailing Address - State:VA
Mailing Address - Zip Code:23150-3230
Mailing Address - Country:US
Mailing Address - Phone:804-339-2274
Mailing Address - Fax:804-328-1077
Practice Address - Street 1:4608 STOCKHOLM DR
Practice Address - Street 2:
Practice Address - City:SANDSTON
Practice Address - State:VA
Practice Address - Zip Code:23150-3230
Practice Address - Country:US
Practice Address - Phone:804-339-2274
Practice Address - Fax:804-328-1077
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-19
Last Update Date:2014-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001047101163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse