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Contact Information

DANIEL J LAVALLEY, MD
2080 W ARLINGTON BLVD STE B
GREENVILLE, NC27834
 Phone: 252-752-2140
 Fax: 252-689-6502
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for DANIEL J LAVALLEY · (Male)

NPI # 1558538587
Status Active
Credentials MD
Entity Individual
Enumeration date 05/08/2008
Last updated 04/08/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 2009-00789
  • NC Medicaid 5912330
  • NC Other 153HU BLUECROSS BLUESHIELD OF NC
  • NC Other 219403 MEDCOST
  • NC Other P00742951 RAILROAD MEDICARE
  • NC Other 1558538587 TRICARE
Hospital affiliation(s)
  • VIDANT MEDICAL CENTER - (Acute Care)
    2100 STANTONSBURG RD
    GREENVILLE, NC 27834
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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