Individual
LORI JEAN LAVIOLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3258 SUNNYHILL ST NE, ROCKFORD, MI 49341
(616) 883-6273
Mailing address
3258 SUNNYHILL ST NE, ROCKFORD, MI 49341-9222
(616) 883-6273
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704214988
MI
Other
Enumeration date
01/08/2009
Last updated
01/08/2009
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