-- HEATHER LAVALLEE THERIAULT -- OD
Individual Provider (NPI-1)
Active
Optometrist
Provider Information
- NPI Number
1548312440- Provider Type
- Individual Provider (NPI-1)
- Credentials
- OD
- Status
- Active
Contact & Location
- Address
- 27 MERIDEN AVE, SOUTHINGTON, CT, 06489
- Phone
- (860) 628-9937
- Fax
- (860) 621-4911
Specialties & Taxonomies
Optometrist
Primary License: CT #002519