Individual
DAVID J LACHANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
35 KENNEDY DR, PUTNAM, CT 06260-1939
(860) 963-3883
Mailing address
320 POMFRET ST, PUTNAM, CT 06260-1836
(860) 928-6541
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
223326
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042472266
THREE RIVERS
—
01
—
0702706
MEDICAID WELFARE
—
05
—
0727706
—
MA
01
—
4142199
MVP HEALTH CARE
—
01
—
77213
HEALTHY START
—
01
—
93026
FALLON COMMUNITY HEALTH P
—
01
—
AA19499
HARVARD PILGRIM HEALTHCAR
—
01
—
NP4788
MEDICARE B
—
Enumeration date
02/17/2006
Last updated
10/24/2024
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