MEDICARE: MRS. SYLVIE LAVOIE

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	171R00000X	Interpreter

General Provider Information

NPI Number	:	1972735355
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SYLVIE LAVOIE

Provider Business Mailing Address
First Line	:	154 BLUE HERON CT
Second Line	:
City	:	ROUND LAKE
State	:	IL
Zip	:	60073-9562
Country	:	US
Telephone Number	:	847-201-1827
Fax Number	:

Provider Business Practice Location Address
First Line	:	154 BLUE HERON CT
Second Line	:
City	:	ROUND LAKE
State	:	IL
Zip	:	60073-9562
Country	:	US
Telephone Number	:	847-201-1827
Fax Number	:

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

Provider Enumeration Date	:	08/18/2009
Last Update Date	:	08/18/2009

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