Search › Pennsylvania › 122300000X
Shaun Lavallee
NPI 1417384280 · on the registry since 2013 · sole proprietor
Practice
- Address
- 1111 E End Blvd
Plains Twp, PA 18702 - Phone
- (570) 824-3521
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania