Provider Demographics
NPI:1568109734
Name:DE LAROCHELLIERE, HUGO (MD)
Entity Type:Individual
Prefix:
First Name:HUGO
Middle Name:
Last Name:DE LAROCHELLIERE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2725, CHEMIN STE-FOY
Mailing Address - Street 2:
Mailing Address - City:QUEBEC CITY
Mailing Address - State:QUEBEC
Mailing Address - Zip Code:G1V 4G5
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2725, CHEMIN STE-FOY
Practice Address - Street 2:
Practice Address - City:QUEBEC CITY
Practice Address - State:QUEBEC
Practice Address - Zip Code:G1V 4G5
Practice Address - Country:CA
Practice Address - Phone:418-656-8711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-18
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program