Dr Stephanie Michelle Lavergne, MD | |
200 W Arbor Dr, San Diego, CA 92103-9000 | |
(800) 926-8273 | |
Not Available |
Full Name | Dr Stephanie Michelle Lavergne |
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Gender | Female |
Speciality | Internal Medicine - Infectious Disease |
Location | 200 W Arbor Dr, San Diego, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760772735 | NPI | - | NPPES |
029168 | Other | CO | KAISER COMMERCIAL NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | A142066 (California) | Secondary |
207RI0200X | Internal Medicine - Infectious Disease | DR.0054223 (Colorado) | Primary |
Entity Name | Colorado Permanente Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760599724 PECOS PAC ID: 1254238454 Enrollment ID: O20031216000640 |
Mailing Address | Practice Location Address |
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Dr Stephanie Michelle Lavergne, MD Po Box 232410, San Diego, CA 92193-2410 Ph: () - | Dr Stephanie Michelle Lavergne, MD 200 W Arbor Dr, San Diego, CA 92103-9000 Ph: (800) 926-8273 |
Dr. Ramin Motarjemi, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 858-249-2500 Fax: 858-657-8069 | |
Dr. Shweta Warner, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 4647 Zion Ave, San Diego, CA 92120 Phone: 619-221-6258 Fax: 619-221-6012 | |
Dr. Matthew James Roosevelt, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 4647 Zion Ave, Department Of Hospital Medicine, San Diego, CA 92120 Phone: 619-952-5091 | |
Dr. Daniel Joseph Desantis, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: Naval Medical Ctr, 34800 Bob Wilson Dr., San Diego, CA 92134 Phone: 619-532-7935 | |
Jedidiah Daniel Bell, Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 619-471-0434 | |
Dr. Umber Dube, MD PHD Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 8899 University Center Lane, Suite 350 Mc 0975, San Diego, CA 92122 Phone: 858-657-1675 | |
Dr. Patricia Vold Pepper, MD, MSC, FACP Infectious Disease Medicare: May Accept Medicare Assignments Practice Location: 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 619-532-7504 Fax: 619-532-7508 |