Individual
LORI ANNA LACASSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 BELANGER DR, PEMBROKE, NH 03275-3258
(603) 485-9000
Mailing address
300 BELANGER DR, PEMBROKE, NH 03275-3258
(603) 485-9000
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0070
NH
Other
Enumeration date
05/27/2020
Last updated
05/27/2020
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