Individual
NICHOLE LACHANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC
Contact information
Practice address
4050 LAKE OTIS PKWY, SUITE 204-C, ANCHORAGE, AK 99508-5212
(907) 336-7323
(907) 277-7355
Mailing address
4050 LAKE OTIS PKWY, SUITE 204-C, ANCHORAGE, AK 99508-5212
(907) 336-7323
(907) 277-7355
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
90
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SP6595
—
AK
Enumeration date
12/14/2006
Last updated
07/09/2007
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