Individual
LORI R ROCHELEAU
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
191 MAY ST, WORCESTER, MA 01602
(508) 368-7888
(508) 767-1290
Mailing address
630 PLANTATION ST, WOT 12TH FLOOR ATTN PHYSICIAN SERVICES, WORCESTER, MA 01605
(508) 368-5529
(508) 368-5530
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
285
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83 00400
EVERCARE
—
01
—
9700112533
RAILROAD MEDICARE
—
01
—
9900376
FALLON COMMUNITY HEALTH P
—
01
—
AP0274
MEDICARE B
—
Enumeration date
01/10/2006
Last updated
07/08/2007
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