MATTHEW LAVALLEE PA-C
NPI 1114429081
Physician Assistant in Fort Knox, KY

Q: What is Matthew Lavallee's NPI number?

The NPI number for Matthew Lavallee is 1114429081. It was assigned to this individual provider in the NPPES registry on March 6, 2018.

Q: What is Matthew Lavallee's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Lavallee was last updated on August 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 06, 2018

200 BRULE ST BLDG 871, FORT KNOX, KY 40121(253) 968-2252 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 15, 2025, Feb 5, 2021, Apr 15, 2019 and 1 more (4 updates tracked since 2018).

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About Matthew Lavallee Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW LAVALLEE PA-C (NPI 1114429081) is an individual physician assistant in Fort Knox, Kentucky and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1114429081

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMATTHEW LAVALLEECredential: PA-C

Location Address200 BRULE ST BLDG 871Fort Knox, KY 40121-6100

Mailing Address62nd Med BdeJoint Base Lewis Mcchord, WA 98433

Phone(253) 968-2252

Sole ProprietorNo

Enumeration DateMarch 6, 2018

Last NPPES UpdateAugust 15, 20254 updates tracked since enumeration

NPPES CertifiedAugust 15, 2025

✔ NPI 1114429081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

200 BRULE ST BLDG 871, Fort Knox, KY 40121

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MOMODOULAMIN S DRAMMEH P.A.

Physician Assistant