Individual
DR. RICHARD J LAVOIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
27 LAFAYETTE ST, NORWICH, CT 06360-3407
(860) 887-1316
(860) 887-1418
Mailing address
27 LAFAYETTE ST, NORWICH, CT 06360-3407
(860) 887-1316
(860) 887-1418
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
025613
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001256130
—
CT
Enumeration date
10/19/2005
Last updated
02/21/2019
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