Individual
JENNA MAUREEN LAROCQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D
Contact information
Practice address
281 LINCOLN ST, WORCESTER, MA 01605-2138
(508) 334-6855
(508) 334-6795
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5326
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5326
OD
MA
Enumeration date
06/10/2016
Last updated
04/02/2021
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