ROLAND A. LAVALLEE MD NPI 1326245747

NPI Information

NPI: 1326245747
Provider Name: ROLAND A. LAVALLEE, MD
Classification: Family Medicine - 207QA0401X
Entity Type: Individual

Specialization: Addiction Medicine

PECOS Registration: Yes

Address:
140 QUEEN CITY AVE
MANCHESTER, NH
ZIP 03103
Phone: (603) 626-9500
Get Directions

Roland A. Lavallee, MD is an addiction medicine family medicine in Manchester, NH. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. Roland A. Lavallee, MD NPI is 1326245747. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

140 QUEEN CITY AVE
MANCHESTER, NH
ZIP 03103-122
Phone: (603) 626-9500

The NPI 1326245747 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/29/2007 and was last updated on 5/21/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QA0401X	Family Medicine	Addiction Medicine	8396	NEW HAMPSHIRE	Yes
2	207Q00000X	Family Medicine		NH 8396	NEW HAMPSHIRE	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	30003649	MEDICAID	NEW HAMPSHIRE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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