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Contact Information

JOHN H LAVALETTE, MD
31 SYCAMORE RD
GLASTONBURY, CT06033
 Phone: 860-721-7561
 Fax: 860-721-9199
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JOHN H LAVALETTE · (Male)

NPI # 1154373405
Status Active
Credentials MD
Entity Individual
Enumeration date 05/16/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • CT License # 037023
  • CT Medicaid 00137023800
  • Other 00948R BCBS UPIN
  • Other OV8907 HEALTHNET
  • CT Other 010037023CT01 BCBS
  • CT Other 0370230688 CT CARE
  • CT Other P1102930 OXFORD
Hospital affiliation(s) Not Available
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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