Individual
LUCIEN R. OUELLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1409 S MAIN STREET, FARMVILLE, VA 23901-2531
(434) 207-5170
(434) 485-8599
Mailing address
P. O. BOX 715868, PHILADELPHIA, PA 19171-5868
(804) 327-9242
Taxonomy
Speciality
Code
Description
License number
State
2080S0010X
Pediatric Sports Medicine Physician
Primary
0101058044
VA
2080S0010X
Pediatric Sports Medicine Physician
MD16785
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114952991
—
ME
Enumeration date
07/11/2006
Last updated
02/21/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us