Provider Demographics
NPI:1851985923
Name:COLASUONNO, LAVONNE D (MSN, APRN, FNP-BC)
Entity Type:Individual
Prefix:MS
First Name:LAVONNE
Middle Name:D
Last Name:COLASUONNO
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 302157
Mailing Address - Street 2:
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00803-2157
Mailing Address - Country:US
Mailing Address - Phone:732-637-7463
Mailing Address - Fax:
Practice Address - Street 1:4605 TUTU PARK MALL STE 207
Practice Address - Street 2:
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802-1736
Practice Address - Country:US
Practice Address - Phone:340-775-3700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-01
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VIAP163634363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily