Matthew Lavallee, PA-C

NPI #1114429081 in Fort Knox, Kentucky

Provider Information

NPI Number
1114429081
Entity Type
Individual
Name
Matthew Lavallee, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Mar 6, 2018
Last Updated
Aug 15, 2025

Practice Location

Address
200 BRULE ST BLDG 871
ZIP Code
40121-6100
Phone
(253) 968-2252

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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