Lavallee, Roland A.

Lavallee, Roland A. is an individual health care provider with primary practice located at 140 Queen City Ave , Manchester NH 03103-7122. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Lavallee, Roland A. can be contacted via phone (603) 626-9500.

Contact Information

Primary practice address
140 Queen City Ave Manchester NH 03103-7122
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 8396 New Hampshire
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X NH 8396 New Hampshire

Profile Details

NPI number 1326245747
LBN Legal business name Lavallee, Roland A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2007
Last updated May 21st, 2019 - about 5 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 1326245747 NPPES
New Hampshire MEDICAID 30003649

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