Organization
LAVALLEE CHIROPRACTIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES RONALD LAVALLEE D.C. (CEO)
(207) 623-1111
Entity
Organization
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
111N00000X
Chiropractor
Primary
CR 1402
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
422800000
—
ME
Enumeration date
06/06/2006
Last updated
12/09/2015
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