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ANDREW LAVERGNE IDC
NPI 1053670505
Military Health Care Provider - Independent Duty Corpsman in Virginia Beach, VA

Active since May 03, 2012
1900 GATOR BLVD, BLDG 3808, VIRGINIA BEACH, VA 23459(757) 763-2900 Get Directions Write a Review

NPPES record last updated: May 3, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrew Lavergne Idc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREW LAVERGNE IDC (NPI 1053670505) is an individual independent duty corpsman provider in Virginia Beach, Virginia and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1053670505
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameANDREW LAVERGNECredential: IDC
Location Address1900 GATOR BLVD, BLDG 3808Virginia Beach, VA 23459-8950
Mailing Address1900 Gator Blvd, Bldg 3808Virginia Beach, VA 23459-8950
Phone(757) 763-2900
Sole ProprietorNo
Enumeration DateMay 3, 2012
✔ NPI 1053670505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
1900 GATOR BLVD, Virginia Beach, VA 23459
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAVIER LOPEZ PA
Physician Assistant
1900 GATOR BLVD
VIRGINIA BEACH, VA 23459
Virginia Beach City (757) 763-2998
CHRISTOPHER STEVEN BARBER IDC
Military Health Care Provider (Independent Duty Corpsman)
1900 GATOR BLVD, BLDG 3808
VIRGINIA BEACH, VA 23459
Virginia Beach City (760) 521-0371

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Lavergne's NPI number?

The NPI number for Andrew Lavergne is 1053670505. It was assigned to this individual provider in the NPPES registry on May 3, 2012.

Where is Andrew Lavergne located?

Andrew Lavergne practices at 1900 Gator Blvd Bldg 3808, Virginia Beach, VA 23459. The listed phone number is (757) 763-2900.

What is Andrew Lavergne's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Andrew Lavergne was last updated on May 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.