Laurinburg ENT Clinic PA

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

9400093 Issued in NC

Legal business name

LAURINBURG ENT CLINIC PA

Practice address

1705 Berwick Dr # B
Laurinburg, NC 28352-5523

Phone

(910) 610-4368

Fax

(910) 610-4388

NPI assigned

Mar 11, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark K Lavigne, M.D.

Title

Owner

Phone

(910) 610-4368

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1164554606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 BERWICK DR # B",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283525523",
            "telephone_number": "910-610-4368",
            "fax_number": "910-610-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 BERWICK DR # B",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283525523",
            "telephone_number": "910-610-4368",
            "fax_number": "910-610-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURINBURG ENT CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-11",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "LAVIGNE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-610-4368",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "NC",
            "license": "9400093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890123J",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Andrew Lanuti
• Stephen Louis Lanuti, MD
• Laser Eye Institute PA
• Alyssa Lattomus
• Lauchwood Pathology Assoc PA
• Laurinburg Opco, LLC
• Mark K Lavigne, MD
• Laura Ho Le, DMD
• Apryl Kimkisha Leach, LPN
• Leap Ahead Therapy

• Otolaryngology Physician in Laurinburg, NC
• Providers in Laurinburg, NC by specialty
• Otolaryngology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.