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Individual
JEFFREY ROBERT LAVALLEE
Active
Individual
JEFFREY ROBERT LAVALLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1.056513
CT
Other
Enumeration date
06/18/2012
Last updated
08/12/2019
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