Individual provider · Type 1 NPI
Stephen Lavalley, CNP
Family Nurse Practitioner · Racine, OH
NPI number
1508623653
Active
Practice location
207 5th St
Racine, OH 45771-5012
Fax (740) 949-2462
Mailing address
PO Box 7527
Dublin, OH 43017-0727
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 89526 (WV) |
| Family Nurse Practitioner | 363LF0000X | 118685 (WV) |
| Family Nurse Practitioner Primary | 363LF0000X | 0035841 (OH) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
Other family nurse practitioner providers in Racine
About NPI 1508623653
Stephen Lavalley, CNP's National Provider Identifier is 1508623653, issued on Mar 5, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Racine, OH. The record was last updated on Apr 29, 2024.