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Individual

MS. LISA A LAVOIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C, OTR/L

Contact information

Practice address
1200 EDGEWATER DR, ORLANDO, FL 32804-6314
(407) 244-8559
(407) 244-8560
Mailing address
1200 EDGEWATER DR, ORLANDO, FL 32804-6314
(407) 244-8559
(407) 244-8560

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9101423
FL

Other

Enumeration date
09/02/2009
Last updated
06/14/2013
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