Provider Demographics
NPI:1538568746
Name:LAVOIE, CHRISTINE CALIXTE (PA-C)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:CALIXTE
Last Name:LAVOIE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11350 MCCORMICK RD
Mailing Address - Street 2:EXECUTIVE PLAZA 1, STE. 501
Mailing Address - City:HUNT VALLEY
Mailing Address - State:MD
Mailing Address - Zip Code:21031-4625
Mailing Address - Country:US
Mailing Address - Phone:703-914-8000
Mailing Address - Fax:561-694-3099
Practice Address - Street 1:5365 ATLANTIC AVE STE 504
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-8194
Practice Address - Country:US
Practice Address - Phone:561-495-6300
Practice Address - Fax:561-495-8877
Is Sole Proprietor?:No
Enumeration Date:2014-08-14
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLPA9106508363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant