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Individual

BRYAN LAVOIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2032 S 17TH ST, SUITE 101, WILMINGTON, NC 28401-6677
(910) 763-3738
(910) 763-0454
Mailing address
2032 S 17TH ST, SUITE 101, WILMINGTON, NC 28401-6677
(910) 763-3738
(910) 763-0454

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
363AM0700X
Medical Physician Assistant
0010-04512
NC

Other

Enumeration date
11/14/2013
Last updated
04/27/2017
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