Lavoie, Richard J

Lavoie, Richard J is an sole proprietor health care provider with primary practice located at 27 Lafayette St , Norwich CT 06360-3407. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Lavoie, Richard J can be contacted via phone (860) 887-1316.

Contact Information

Primary practice address
27 Lafayette St Norwich CT 06360-3407
Fax: (860) 887-1418
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 025613 Connecticut

Profile Details

NPI number 1679562995
LBN Legal business name Lavoie, Richard J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2005
Last updated Feb 21st, 2019 - about 6 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 1679562995 NPPES
Connecticut MEDICAID 001256130

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