Provider Demographics
NPI:1083120794
Name:LAFRANCE, NORMAN DAVID
Entity Type:Individual
Prefix:
First Name:NORMAN
Middle Name:DAVID
Last Name:LAFRANCE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 RUE RAFFLES
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:QUEBEC
Mailing Address - Zip Code:010
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:19 RUE RAFFLES
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:QUEBEC
Practice Address - Zip Code:J0P1H0
Practice Address - Country:CA
Practice Address - Phone:514-235-8754
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-18
Last Update Date:2017-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY238257207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine