Provider Demographics
NPI:1407871197
Name:LAVOY, ALISON GUILE (MD)
Entity Type:Individual
Prefix:DR
First Name:ALISON
Middle Name:GUILE
Last Name:LAVOY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 WILDOMAR ST
Mailing Address - Street 2:
Mailing Address - City:MILL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94941-2782
Mailing Address - Country:US
Mailing Address - Phone:415-389-8615
Mailing Address - Fax:415-389-8615
Practice Address - Street 1:655 REDWOOD HWY
Practice Address - Street 2:SUITE 200
Practice Address - City:MILL VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94941-3034
Practice Address - Country:US
Practice Address - Phone:415-383-6623
Practice Address - Fax:413-383-6671
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG49389207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA51353Medicare UPIN