Individual
JUNE LAVALLEUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6060 24TH AVENUE SOUTH, RIVERSIDE PROFESSIONAL BUILDING, SUITE 300, MINNEAPOLIS, MN 55454
(612) 273-7111
Mailing address
420 DELAWARE ST SE MMC 395, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55455
(612) 273-7111
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
34622
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023077400
—
MN
01
—
047027
FAIRVIEW
MN
01
—
07-02800
MEDICA-PRIMARY
MN
01
—
07-25339
MEDICA-CHOICE
MN
01
—
1000090
PREFERRED ONE
MN
01
—
100819
U CARE
MN
01
—
160026367
RR MEDICARE
MN
01
—
2T434LA
BCBS
MN
01
—
595947
ARAZ
MN
01
—
HP13789
HEALTH PARTNERS
MN
Enumeration date
10/16/2006
Last updated
07/08/2007
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