Organization
RICHARD J LAVOIE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD J LAVOIE M.D. (SOLE PROPIETOR)
(860) 887-1316
Entity
Organization
Contact information
Practice address
27 LAFAYETTE ST, NORWICH, CT 06360-3407
(860) 887-1316
(860) 887-1418
Mailing address
27 LAFAYETTE ST, NORWICH, CT 06360-3407
(860) 887-1316
(860) 887-1418
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001256130
—
CT
Enumeration date
06/03/2016
Last updated
06/03/2016
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