Provider Demographics
NPI:1053205294
Name:LAVALLEY, SEAN (RN)
Entity type:Individual
Prefix:MR
First Name:SEAN
Middle Name:
Last Name:LAVALLEY
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:356 SPRINGFIELD RD
Mailing Address - Street 2:
Mailing Address - City:BELCHERTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:01007-9040
Mailing Address - Country:US
Mailing Address - Phone:413-885-0087
Mailing Address - Fax:
Practice Address - Street 1:720 MEADOW ST
Practice Address - Street 2:
Practice Address - City:CHICOPEE
Practice Address - State:MA
Practice Address - Zip Code:01013-1801
Practice Address - Country:US
Practice Address - Phone:413-594-3464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN270801163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool