Individual
DR. PHILIP J. LAVALLEE
Active
Individual
DR. PHILIP J. LAVALLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
7673
MT
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
7673
MT
208D00000X
General Practice Physician
7673
MT
Other
Enumeration date
04/28/2009
Last updated
04/28/2009
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