BRAD J LAVALLIE OD

BAYCARE CLINIC LLP

Dr BRAD J LAVALLIE OD is a male medical professional, specializing in Optometry. He graduated in 1998 from University Of Missouri St Louis - School Of Optometry.

Contact

BAYCARE CLINIC LLP

323 E HIGHLAND DR
SUITE 8
OCONTO FALLS
WI
541541006

Tel: 9208462845

BRAD J LAVALLIE OD Information

Npi 1003828740
Pac Id 1850318213
Professional Enrollment Id I20051026000159
Last Name LAVALLIE
First Name BRAD
Middle Name J
Suffix
Gender M
Credential OD
Medical School Name UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Graduation Year 1998
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name BAYCARE CLINIC LLP
Group Practice Pac Id 4385554328
Number Of Group Practice Members 165
Line 1 Street Address 323 E HIGHLAND DR
Line 2 Street Address SUITE 8
Marker Of Address Line 2 Suppression
City OCONTO FALLS
State WI
Zip Code 541541006
Phone Number 9208462845
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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