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1114907995
PETER LAWRENCE LAVALLE
SAN LEANDRO, CA
NPI
1114907995
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA G17435)
Enumeration Date
2006-01-18
Last Update Date
2007-07-08
Business Address
Dr. PETER LAWRENCE LAVALLE M.D.
2045 FAIRMONT DR
SAN LEANDRO, CA 94578-1088
Phone number: 510-667-7508
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Mailing Address
Dr. PETER LAWRENCE LAVALLE M.D.
2045 FAIRMONT DR
SAN LEANDRO, CA 94578-1088
Phone number: 510-667-7508
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