Lavonne M Charbonneau, PA-C

NPI #1700867397 in Rolla, North Dakota

Provider Information

NPI Number: 1700867397
Entity Type: Individual
Name: Lavonne M Charbonneau, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 10, 2005
Last Updated: Feb 18, 2010

Practice Location

Address: 114 3RD ST NE
City: Rolla
State: North Dakota
ZIP Code: 58367-7137
Phone: (701) 477-3111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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