Organization
GWENDOLYN L. LAVALAIS, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GWENDOLYN L LAVALAIS MD (OWNER)
(409) 212-5930
Entity
Organization
Contact information
Practice address
3555 STAGG DRIVE, BEAUMONT, TX 77701
(409) 212-5930
(409) 212-5931
Mailing address
3555 STAGG DRIVE, BEAUMONT, TX 77701
(409) 212-5930
(409) 212-5931
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
—
TX
Other
Enumeration date
11/30/2005
Last updated
07/21/2022
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