Individual
AMBER LAVALLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8115 53RD WAY N, PINELLAS PARK, FL 33781-2367
(727) 648-3786
Mailing address
8115 53RD WAY N, PINELLAS PARK, FL 33781-2367
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11040617
FL
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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