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Individual

JEFFREY ROBERT LAVALLEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
59 SYCAMORE ST, #301, GLASTONBURY, CT 06033-4535
(860) 430-2821
Mailing address
59 SYCAMORE ST, #301, GLASTONBURY, CT 06033-4535
(860) 430-2821

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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