Individual
BARBARA C. LAVALLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
50 LYDIA LN, SOUTH PORTLAND, ME 04106
(207) 310-4476
Mailing address
83 NORTHERN OAKS DR, RAYMOND, ME 04071-5507
(207) 310-4476
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2837
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136040301
—
ME
05
—
249190099
—
ME
Enumeration date
02/09/2007
Last updated
10/10/2018
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