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Individual

JULIE LAVALLIERE

Active
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Individual

JULIE LAVALLIERE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
321839-01
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
321839-01
NY

Other

Enumeration date
04/15/2020
Last updated
02/19/2025
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