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Individual

DAVID L. LAVOIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
272 COTTAGE ST, SANFORD, ME 04073-1815
(207) 324-8888
(207) 636-5023
Mailing address
272 COTTAGE ST, SANFORD, ME 04073-1815
(207) 324-8888
(207) 636-5023

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT626
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
289040099
ME
Enumeration date
07/18/2006
Last updated
07/21/2020
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