MR. STEPHEN LAVALLEY CNP NPI 1508623653

NPI Information

  • NPI: 1508623653
  • Provider Name: MR. STEPHEN LAVALLEY, CNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 207 5TH ST
    RACINE, OH
    ZIP 45771
  • Phone: (740) 949-2683

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NPI Details

MR. Stephen Lavalley, CNP is a family nurse practitioner in Racine, OH with 3 years of experience. MR. Stephen Lavalley, CNP NPI is 1508623653. 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:

207 5TH ST
RACINE, OH
ZIP 45771-012
Phone: (740) 949-2683
Fax: (740) 949-2462

The NPI 1508623653 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 3/5/2024 and was last updated on 4/29/2024.

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
1163W00000XRegistered Nurse89526WEST VIRGINIANo
2363LF0000XNurse PractitionerFamily118685WEST VIRGINIANo
3363LF0000XNurse PractitionerFamily0035841OHIOYes

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: 11/21/2025

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