Individual
JACOB ROBERT LAREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
SPORTSMEDICINE ATLANTIC ORTHOPAEDICS, P.A., 1900 LAFAYETTE ROAD SUITE A, PORTSMOUTH, NH 03801-0380
(603) 431-3347
(603) 431-3347
Mailing address
161 ROYAL HTS, WELLS, ME 04090-4923
(413) 427-1114
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/16/2022
Last updated
06/30/2022
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