MEDICARE: VALERIE LAVOIE AGNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	5006834	NC
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	5006834	NC

General Provider Information

NPI Number	:	1639583099
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALERIE LAVOIE AGNP

Provider Business Mailing Address
First Line	:	3817 LAWNDALE DR STE E2
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27455-1641
Country	:	US
Telephone Number	:	336-355-7872
Fax Number	:	336-223-6437

Provider Business Practice Location Address
First Line	:	3817 LAWNDALE DR STE E2
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27455-1641
Country	:	US
Telephone Number	:	336-355-7872
Fax Number	:	336-223-6437

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2014
Last Update Date	:	12/01/2025

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