Provider Demographics
NPI:1144754581
Name:THE LAVALLEE GROUP LLC
Entity Type:Organization
Organization Name:THE LAVALLEE GROUP LLC
Other - Org Name:NEW ENGLAND LIFELINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MAURICE
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:LAVALLEE
Authorized Official - Suffix:
Authorized Official - Credentials:NRP
Authorized Official - Phone:802-782-0012
Mailing Address - Street 1:112 N MAIN ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SAINT ALBANS
Mailing Address - State:VT
Mailing Address - Zip Code:05478-1768
Mailing Address - Country:US
Mailing Address - Phone:802-528-1026
Mailing Address - Fax:802-242-0156
Practice Address - Street 1:112 N MAIN ST
Practice Address - Street 2:SUITE 1
Practice Address - City:SAINT ALBANS
Practice Address - State:VT
Practice Address - Zip Code:05478-1768
Practice Address - Country:US
Practice Address - Phone:802-528-1026
Practice Address - Fax:802-242-0156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-12
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333300000XSuppliersEmergency Response System Companies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies