Provider Demographics
NPI:1033445572
Name:LACHANCE, SARAH (LMT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:LACHANCE
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:177 HILL RD
Mailing Address - Street 2:
Mailing Address - City:DUMMER
Mailing Address - State:NH
Mailing Address - Zip Code:03588-5409
Mailing Address - Country:US
Mailing Address - Phone:603-449-2687
Mailing Address - Fax:
Practice Address - Street 1:177 HILL RD
Practice Address - Street 2:
Practice Address - City:DUMMER
Practice Address - State:NH
Practice Address - Zip Code:03588-5409
Practice Address - Country:US
Practice Address - Phone:603-449-2687
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-18
Last Update Date:2009-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3350M225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist