Doctor Name: | LAUREN LAVOIE |
NPI Number: | 1336573708 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 055.0031180 |
Business Practice Address: | 1 Hospital Ct Rockingham Medical Group Bellows Falls, VT - 051011489 |
Business Phone Number: | 8024639000 |
Business Fax Number: | |
Mailing Address: | Po Box 710, SPRINGFIELD |
State: | VT |
Postal Code: | 051560710 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/21/2013 |
NPI Last Update Date: | 08/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 055.0031180 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |