Individual
LAVONNE L MICHAUD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
640 JACKSON ST, MAIL STOP 11303A, SAINT PAUL, MN 55101-2502
(651) 254-4786
(651) 228-8362
Mailing address
8100 34TH AVE S, 21110Q, BLOOMINGTON, MN 55425-1672
(952) 883-7961
(952) 883-5395
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
31356
WI
2084P0800X
Psychiatry Physician
Primary
36367
MN
Other
Enumeration date
02/13/2006
Last updated
07/08/2007
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