Individual
MRS. DIANE MCKENNA LAVALLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP NURSE PRACTITIONE
Contact information
Practice address
6 MAIN STREET, HYANNIS, MA 02601
(508) 771-7284
(508) 771-8655
Mailing address
6 MAIN ST, HYANNIS, MA 02601-3112
(508) 771-7284
(508) 771-8655
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
227349
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP3377
BLUE CROSS BLUE SHIELD
MA
Enumeration date
05/24/2007
Last updated
09/17/2019
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