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Individual

MS. HEATHER ANN LIVINGSTON LAVALLEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
100 FODEN ROAD, WEST BUILDING SUITE 103, SOUTH PORTLAND, ME 04106-2351
(207) 828-1122
(207) 828-0188
Mailing address
100 FODEN ROAD, WEST BUILDING SUITE 103, SOUTH PORTLAND, ME 04106-2351
(207) 828-1122
(207) 828-0188

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP111096
ME

Other

Enumeration date
12/21/2011
Last updated
11/16/2015
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