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NPI Code Detail

MEDICARE: JULIA LAVALLEE

MEDICARE: JULIA LAVALLEE
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
1363LF0000XFamily Nurse PractitionerRN10002171MA

General Provider Information

NPI Number : 1548007875
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIA LAVALLEE
Provider Business Mailing Address
First Line : 4 BROTHERTON WAY
Second Line :
City : AUBURN
State : MA
Zip : 01501-2684
Country : US
Telephone Number : 508-721-1199
Fax Number : 508-453-8019
Provider Business Practice Location Address
First Line : 4 BROTHERTON WAY
Second Line :
City : AUBURN
State : MA
Zip : 01501-2684
Country : US
Telephone Number : 508-721-1199
Fax Number : 508-453-8019
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2024
Last Update Date : 05/07/2026

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Directions to “ JULIA LAVALLEE ” Practice Location

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