Individual
SHAWN MICHAEL LAVALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3178 PLANK RD, MINEVILLE, NY 12956-1051
(518) 791-5179
Mailing address
3178 PLANK RD, MINEVILLE, NY 12956-1051
(518) 791-5179
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
651720417
NY
Other
Enumeration date
12/15/2025
Last updated
12/15/2025
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