Lavallee, Amanda

Lavallee, Amanda is an individual health care provider with primary practice located at 1935 Medical District Dr , Dallas TX 75235-7701. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, which is considered as her primary health care specialty. Lavallee, Amanda can be contacted via phone (214) 456-7871.

Contact Information

Primary practice address
1935 Medical District Dr Dallas TX 75235-7701
Phone: (214) 456-7871
Fax: (214) 456-0850
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X NP124639 Texas

Profile Details

NPI number 1720148091
LBN Legal business name Lavallee, Amanda
Credentials NNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2006
Last updated Jun 29th, 2016 - about 10 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 1720148091 NPPES
Georgia MEDICAID 626130284B

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