Individual
JACQUES RICHARD LAROCHELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-0111
Mailing address
2101 OHIO ST, BANGOR, ME 04401-2017
(207) 852-8007
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
22741
NH
207P00000X
Emergency Medicine Physician
MD25324
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2019
Last updated
08/23/2022
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