VLASTA D LAVALLE

SOMERVILLE, MA
NPI1316076334
Former NameVLASTA DOLINAR
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: MA  258436)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: MA  258436)
Enumeration Date2007-03-05
Last Update Date2012-06-12
Business Address
-- VLASTA D LAVALLE NP
40 HOLLAND ST INTERNAL MEDICINE
SOMERVILLE, MA 02144-2705
Phone number: 617-629-6350
Mailing Address
-- VLASTA D LAVALLE NP
147 MILK ST PROVIDER ENROLLMENT, 9TH FLOOR
BOSTON, MA 02109-4806
Phone number: