LAVONNE CHARBONNEAU, PA-C
Physician Assistant
Active
Individual
NPI: 1700867397
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | PAC0002 (ND) |
Frequently Asked Questions
NPI 1700867397 is the National Provider Identifier for LAVONNE CHARBONNEAU, PA-C, a Physician Assistant provider located in Rolla, ND. This NPI was enumerated on November 10, 2005.
LAVONNE CHARBONNEAU, PA-C practices at 114 3RD ST NE, Rolla, ND 58367.
Quick Facts
- NPI
- 1700867397
- Type
- Individual
- Enumerated
- Nov 10, 2005
- Last Updated
- Feb 18, 2010
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