Individual
JANET LAVALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2480 LLEWELLYN AVE STE 5800, FORT GEORGE G MEADE, MD 20755-5129
(301) 677-8798
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R138878
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
684701300
—
MD
Enumeration date
06/10/2006
Last updated
01/24/2024
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