Individual
DR. CHARLES E LAVALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
211 SAINT FRANCIS DR, ATTN: INFECTIOUS DISEASE DEPT, CAPE GIRARDEAU, MO 63703-5049
(573) 331-3000
(573) 331-3000
Mailing address
PO BOX 191850, ATTN: DEBBIE STRAUSS, SAINT LOUIS, MO 63119-7850
(314) 821-8055
(314) 821-1833
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
115503
MO
Other
Enumeration date
11/30/2005
Last updated
06/06/2014
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