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Contact Information

MATTHEW A LAVALLE, MD
211 SAINT FRANCIS DR
CAPE GIRARDEAU, MO63703-5049
 Phone: 573-334-7575
 Fax: 573-334-7512
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for MATTHEW A LAVALLE · (Male)

NPI Number 1063521078
Status Active
Credentials MD
Entity Individual
Enumeration date 08/30/2006
Last updated 08/01/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2001002335
  • MO Medicaid 205317407
  • Other 461684 HEALTHLINK
  • MO Other 105181 BLUE CROSS BLUE SHIELD
Hospital affiliation(s)
  • MISSOURI DELTA MEDICAL CENTER - (Acute Care)
    1008 NORTH MAIN ST
    SIKESTON, MO 63801
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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