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Ronald William Lavoie

Emergency Medicine

Allopathic & Osteopathic Physicians

269 S Candy Ln, Cottonwood, AZ 86326-4158

PECOS Enrollment

This provider is enrolled in PECOS as RONALD LAVOIE.

Based on the most recent information from CMS, provider Ronald William Lavoie is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1962820142
Provider Type
Individual
Full Name
Lavoie, Ronald William
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
4/3/2014
Last Updated
3/28/2022

Contact Information

Practice Location

269 S Candy Ln, Cottonwood, AZ 86326-4158

(928) 639-6172

Unlisted Fax

Mailing Location

1200 N Beaver St, Flagstaff, AZ 86001-3118

(928) 213-6235

(928) 213-6292

Provider Taxonomies

Code	Description	License
Code 207P00000X Primary	Description Emergency Medicine Allopathic & Osteopathic Physicians	License 56005 Arizona
Code 207PE0004X	Description Emergency Medicine Allopathic & Osteopathic Physicians	License 269963 Massachusetts

Ronald William Lavoie

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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