Individual
ROBERT J LAVIOLETTE
Active
Individual
ROBERT J LAVIOLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01026285
IN
207L00000X
Anesthesiology Physician
Primary
01026285A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001566210
ANTHEM PTAN
IN
05
—
100064730
—
IN
01
—
1102189772
ANTHEM PTAN
IN
01
—
Q00229312
RAILROAD PTAN
IN
Enumeration date
07/12/2006
Last updated
12/23/2024
Update your record
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