Individual
DR. NATHAN LACASSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 VA CTR, AUGUSTA, ME 04330-6719
(207) 623-8411
Mailing address
104 WHEELOCK ST, MANCHESTER, NH 03102-4889
(603) 486-6974
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3738
NH
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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