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Individual

DALE LACHANCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NURSE PRACTITIONER

Contact information

Practice address
201 HOSPITAL DR, DOVER, OH 44622-2058
(330) 343-6631
Mailing address
9239 BLETCHLEY AVE NW, NORTH CANTON, OH 44720-8200
(330) 807-5489

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.023706
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0321525
OH
Enumeration date
10/05/2018
Last updated
03/06/2021
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