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Nichole Lavalley
NPI 1821138017 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1461 Moosehead Trl
Jackson, ME 04921 - Phone
- (207) 907-2631
Additional practice sites
- 119 Lower Detroit Rd, Plymouth, ME
Registry record
- Primary taxonomy
- 320900000X
320900000X
- Licence states on file
- ME
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-10-30
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 Maine