BRAD J LAVALLIE

GREEN BAY, WI
NPI1003828740
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: WI  2706)
Enumeration Date2006-08-12
Last Update Date2024-04-09
Business Address
BRAD J LAVALLIE OD
2253 W MASON ST
GREEN BAY, WI 54303-4706
Phone number: 920-327-7000
Mailing Address
BRAD J LAVALLIE OD
1035 KEPLER DR
GREEN BAY, WI 54311-8320
Phone number: 920-490-9046
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