Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jaclynn R Laviolette

Individual provider Pharmacist · NPI 1437759636

Jaclynn R Laviolette is a Pharmacist in Niles, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2020
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Practice location Address checks out

2107 S 11th St
Niles, MI 49120-4060
Phone: (269) 683-5573
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 5302029320 (MI)

Record details

NPI number1437759636
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 27, 2020
Last updated in NPPESOctober 27, 2020
Certification dateOctober 27, 2020
Mailing address19241 Copper Brook Dr, South Bend, IN 46637-2417

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