Individual
MR. BRENDON DANIEL LACHANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, PT
Contact information
Practice address
115 PORTER ST, EAST BOSTON, MA 02128-2110
(617) 569-2929
(617) 569-2925
Mailing address
115 PORTER ST, EAST BOSTON, MA 02128-2110
(617) 569-2929
(617) 569-2925
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15139
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017651
NEIGHBORHOOD HEALTH PLAN
MA
05
—
0330299
—
MA
01
—
2594521
AETNA/US HEALTH CARE
MA
01
—
307647
HARVARD PILGRIM
MA
01
—
64-02350
UNITED HEALTH CARE
MA
01
—
Y67795
BLUE CROSS
MA
Enumeration date
08/10/2005
Last updated
09/24/2025
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