Individual
LYNNE LAVALLEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
56 OAK HILL LN, BOYLSTON, MA 01505-1200
(508) 869-0077
Mailing address
56 OAK HILL LN, BOYLSTON, MA 01505-1200
(508) 869-0077
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN187119
MA
Other
Enumeration date
06/09/2014
Last updated
06/09/2014
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