Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LAVONNE M CHARBONNEAU, PA-C
ActiveLAVONNE M CHARBONNEAU, PA-C is a Physician Assistant healthcare provider located in ROLLA, North Dakota. NPI 1700867397 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · ROLLA, ND
Registration Details
- NPI Number
- 1700867397
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 10, 2005 (20.773210173267 yrs)
- Last Updated
- Feb 18, 2010
- License
-
PAC0002 (ND)
Practice Information
- Address
-
114 3RD ST NEROLLA, ND, 583677137Browse ND providers · Browse ZIP 58367
- Phone
- 7014773111
- Fax
- 7014776342
- Primary Specialty
-
Physician Assistant
363A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.