Provider Demographics
NPI:1669698973
Name:LAVOIE, ERICA R (MD)
Entity type:Individual
Prefix:DR
First Name:ERICA
Middle Name:R
Last Name:LAVOIE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ERICA
Other - Middle Name:R
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:93 COLONEL DANIELS DR
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03110-5010
Mailing Address - Country:US
Mailing Address - Phone:603-661-4520
Mailing Address - Fax:
Practice Address - Street 1:93 COLONEL DANIELS DR
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110-5010
Practice Address - Country:US
Practice Address - Phone:603-661-4520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2019-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH57.012531207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH4277161Medicare PIN