Individual
ROLAND A. LAVALLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
140 QUEEN CITY AVE, MANCHESTER, NH 03103-7122
(603) 626-9500
Mailing address
20 HUNTERS RD, BEDFORD, NH 03110-5014
(603) 472-4424
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
NH 8396
NH
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
8396
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30003649
—
NH
Enumeration date
06/29/2007
Last updated
05/21/2019
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