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Individual

DR. JAMES RONALD LAVALLEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
619 LEIGHTON RD, AUGUSTA, ME 04330-7809
(207) 623-1111
(207) 623-9990
Mailing address
619 LEIGHTON RD, AUGUSTA, ME 04330-7809
(207) 623-1111
(207) 623-9990

Taxonomy

Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
CR1402
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
422800000
ME
Enumeration date
02/02/2006
Last updated
12/09/2015
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