Individual
NATHAN LAVOIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
36 1ST AVE, BOSTON, MA 02129-4557
(617) 726-2947
Mailing address
36 1ST AVE, BOSTON, MA 02129-4557
(617) 726-2947
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/10/2020
Last updated
12/09/2025
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