Individual
DR. JOCELYN H LAROCQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
15830 BALLANTYNE MEDICAL PL, STE 100, CHARLOTTE, NC 28277-4653
(704) 341-0090
(704) 341-0092
Mailing address
15830 BALLANTYNE MEDICAL PL, STE 100, CHARLOTTE, NC 28277-4653
(704) 341-0090
(704) 341-0092
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2005-00628
NC
207NS0135X
Procedural Dermatology Physician
200500628
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5903749
—
NC
01
—
P0031039
MEDICARE RAILROAD
NC
Enumeration date
01/11/2006
Last updated
01/20/2015
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