Provider Demographics
NPI:1528408713
Name:FRECHETTE, LIANE (MAT, MED)
Entity Type:Individual
Prefix:
First Name:LIANE
Middle Name:
Last Name:FRECHETTE
Suffix:
Gender:F
Credentials:MAT, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 SPARROW ST
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02745-2315
Mailing Address - Country:US
Mailing Address - Phone:508-264-7951
Mailing Address - Fax:
Practice Address - Street 1:16 SPARROW ST
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02745-2315
Practice Address - Country:US
Practice Address - Phone:508-264-7951
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-02
Last Update Date:2013-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist