Individual
LISA LAVALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
169 N HATFIELD RD, NORTH HATFIELD, MA 01066-0702
(413) 320-7582
Mailing address
PO BOX 702, NORTH HATFIELD, MA 01066-0702
(413) 320-7582
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PT12112
MA
Other
Enumeration date
02/06/2015
Last updated
02/06/2015
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