Individual
MARY LACHANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
618 E ILLINOIS ST, MT PLEASANT, MI 48858-2748
(303) 928-9766
Mailing address
618 E ILLINOIS ST, MT PLEASANT, MI 48858-2748
(303) 928-9766
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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