MEDICARE: STEVEN LAVOIE JR.

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	146L00000X	Paramedic

General Provider Information

NPI Number	:	1376490847
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN LAVOIE JR.

Provider Business Mailing Address
First Line	:	115 COUNTY ROAD 3826
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78253-6842
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	115 COUNTY ROAD 3826
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78253-6842
Country	:	US
Telephone Number	:	860-881-0806
Fax Number	:

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

Provider Enumeration Date	:	03/13/2026
Last Update Date	:	03/13/2026

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