Individual
JOSEPH LAVALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
1267 HIGHWAY 54 W STE 4200, FAYETTEVILLE, GA 30214-2112
(678) 829-1060
(678) 829-1099
Mailing address
1800 HOWELL MILL RD NW STE 800, ATLANTA, GA 30318-0922
(678) 298-3239
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN214862
GA
Other
Enumeration date
06/15/2009
Last updated
06/16/2025
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