Individual
DANIEL L LAVOIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2600 S HERITAGE WOODS DR, APPLETON, WI 54915-1408
(920) 225-7875
(920) 993-5003
Mailing address
122 E COLLEGE AVE, APPLETON, WI 54911-5794
(920) 996-3264
(920) 830-5910
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34702
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31937500
—
WI
Enumeration date
10/26/2006
Last updated
07/21/2022
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