Individual
LISA PAVALON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16434 S LEXINGTON DR, PLAINFIELD, IL 60586-1069
(815) 451-7875
Mailing address
16434 S LEXINGTON DR, PLAINFIELD, IL 60586-1069
(815) 451-7875
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
01/24/2025
Last updated
01/26/2025
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