Lavalle, Vlasta D

Lavalle, Vlasta D is an individual health care provider with primary practice located at 40 Holland St Internal Medicine, Somerville MA 02144-2705. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Lavalle, Vlasta D can be contacted via phone (617) 629-6350.

Contact Information

Primary practice address
40 Holland St Internal Medicine Somerville MA 02144-2705
Phone: (617) 629-6350
Fax: (617) 629-6067
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 258436 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 258436 Massachusetts

Profile Details

NPI number 1316076334
LBN Legal business name Lavalle, Vlasta D
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Jun 12th, 2012 - about 12 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 1316076334 NPPES
Massachusetts MEDICAID 0711594

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