Lavalle, Matthew Albert

Lavalle, Matthew Albert is an individual health care provider with primary practice located at 211 Saint Francis Dr , Cape Girardeau MO 63703-5049. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Lavalle, Matthew Albert can be contacted via phone (573) 334-7575.

Contact Information

Primary practice address
211 Saint Francis Dr Cape Girardeau MO 63703-5049
Fax: (573) 334-7512
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 2001002335 Missouri
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 2001002335 Missouri
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 2001002335 Missouri

Profile Details

NPI number 1063521078
LBN Legal business name Lavalle, Matthew Albert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Aug 1st, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063521078 NPPES
Other 461684 HEALTHLINK
MEDICAID 205317407 HEALTHLINK
Other 105181 HEALTHLINK

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