Provider Demographics
NPI:1457316788
Name:LAFRANCE, RICHARD M (MSPT)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:M
Last Name:LAFRANCE
Suffix:
Gender:M
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3191 COLE RD
Mailing Address - Street 2:
Mailing Address - City:EATON
Mailing Address - State:NY
Mailing Address - Zip Code:13334-2910
Mailing Address - Country:US
Mailing Address - Phone:315-825-1316
Mailing Address - Fax:315-290-3012
Practice Address - Street 1:3191 COLE RD
Practice Address - Street 2:
Practice Address - City:EATON
Practice Address - State:NY
Practice Address - Zip Code:13334
Practice Address - Country:US
Practice Address - Phone:315-825-1316
Practice Address - Fax:315-290-3012
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-19
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021200225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY021200OtherLICENSE