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
Phone: (603) 626-9500
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1326245747 | NPPES |
New Hampshire | MEDICAID | 30003649 |
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