Individual
ASHLEY DIANE LAVALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
739 IRVING AVE STE 400, SYRACUSE, NY 13210-1665
(315) 234-6677
(315) 234-4808
Mailing address
739 IRVING AVE STE 400, SYRACUSE, NY 13210-1655
(315) 234-6677
(315) 234-4808
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F346138-01
NY
Other
Enumeration date
08/07/2020
Last updated
12/05/2023
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