Individual
COLETTE LAVOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
81 HIGHLAND SPRINGS AVE STE 100, BEAUMONT, CA 92223-3170
(951) 845-0313
Mailing address
PO BOX 10069, SAN BERNARDINO, CA 92423-0069
(909) 335-4188
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/08/2017
Last updated
09/28/2020
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