Individual
MICHAEL LACHANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1190 LISBON ST, UNIT 101, LEWISTON, ME 04240-5027
(207) 376-3000
(207) 376-3003
Mailing address
73 NEWTON RD, STE 101, PLAISTOW, NH 03865-2424
(978) 388-7272
(978) 388-7373
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2898
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT2898
LICENSE#
ME
Enumeration date
11/03/2006
Last updated
06/25/2015
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