Individual
MR. GARY M LAVOIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
508 PLEASANT ST, ATTLEBORO, MA 02703-2425
(508) 226-4241
(508) 223-3044
Mailing address
508 PLEASANT ST, ATTLEBORO, MA 02703-2425
(508) 226-4241
(508) 223-3044
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202-315-580
FEDERAL ID #
MA
Enumeration date
10/18/2006
Last updated
07/08/2007
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