Individual
OLIVIA GRACE LAVOIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40 HOLLAND ST, SOMERVILLE, MA 02144-2705
(617) 629-6000
Mailing address
40 HOLLAND ST, SOMERVILLE, MA 02144-2705
(617) 629-6000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9367
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/06/2022
Last updated
06/28/2023
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