Individual
MRS. MARLO LAGRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 INFIRMARY WAY, AMHERST, MA 01003-9288
(413) 577-5000
(413) 577-5117
Mailing address
150 INFIRMARY WAY, AMHERST, MA 01003-9288
(413) 577-5000
(413) 577-5117
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11460
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2870192
AETNA
MA
01
—
Y67488
BLUE CROSS BLUE SHIELD MA
MA
Enumeration date
01/11/2007
Last updated
07/08/2007
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