Provider Demographics
NPI:1508224957
Name:LACHANCE, JO-ANNE ELISE (RRT)
Entity Type:Individual
Prefix:
First Name:JO-ANNE
Middle Name:ELISE
Last Name:LACHANCE
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:89 SUMMER ST
Mailing Address - Street 2:
Mailing Address - City:BLACKSTONE
Mailing Address - State:MA
Mailing Address - Zip Code:01504-1338
Mailing Address - Country:US
Mailing Address - Phone:508-962-1570
Mailing Address - Fax:
Practice Address - Street 1:89 SUMMER ST
Practice Address - Street 2:
Practice Address - City:BLACKSTONE
Practice Address - State:MA
Practice Address - Zip Code:01504-1338
Practice Address - Country:US
Practice Address - Phone:508-962-1570
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-31
Last Update Date:2016-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRCP00967227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered