Individual
MRS. MIKAELA ANDREA LAVALLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 BOSTON TPKE STE 105, SHREWSBURY, MA 01545-3414
(508) 845-8200
Mailing address
219 QUAKER HWY, UXBRIDGE, MA 01569-1629
(508) 887-0660
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
2272300
MA
Other
Enumeration date
04/16/2015
Last updated
12/27/2022
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