Provider Demographics
NPI:1245788389
Name:LAVOIE, JANICE K (NP)
Entity Type:Individual
Prefix:MS
First Name:JANICE
Middle Name:K
Last Name:LAVOIE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10850 OAK GREEN CT
Mailing Address - Street 2:
Mailing Address - City:BURKE
Mailing Address - State:VA
Mailing Address - Zip Code:22015-2336
Mailing Address - Country:US
Mailing Address - Phone:703-568-1367
Mailing Address - Fax:
Practice Address - Street 1:10850 OAK GREEN CT
Practice Address - Street 2:
Practice Address - City:BURKE
Practice Address - State:VA
Practice Address - Zip Code:22015-2336
Practice Address - Country:US
Practice Address - Phone:703-568-1367
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-19
Last Update Date:2016-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024173993363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner