Individual
MS. LINDA HELEN LAVALLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
582 ROOSEVELT TRL, WINDHAM, ME 04062-4904
(207) 892-3233
(207) 810-4990
Mailing address
582 ROOSEVELT TRL, WINDHAM, ME 04062-4904
(207) 892-3233
(207) 810-4990
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
198710
MA
363LA2200X
Adult Health Nurse Practitioner
Primary
CNP211217
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110028120
—
MA
01
—
ML0622527I
STATE CONTROLLED SUBSTANCE REGISTRATION
MA
01
—
ML1390018
STATE CONTROLLED SUBSTANCE REGISTRATION
MA
Enumeration date
12/03/2008
Last updated
03/02/2026
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