Individual
KATHLEEN LAVOIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-2000
Mailing address
306 CATHOLE ROAD, LITCHFIELD, CT 06759
(860) 307-1553
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2323336
MA
363LF0000X
Family Nurse Practitioner
RN2323336
MA
Other
Enumeration date
10/10/2018
Last updated
03/11/2019
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