Provider Demographics
NPI:1770856403
Name:DECHAR, LORIE EVE (LAC)
Entity Type:Individual
Prefix:MS
First Name:LORIE
Middle Name:EVE
Last Name:DECHAR
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 CURTIS COVE ROAD
Mailing Address - Street 2:PO BOX 82
Mailing Address - City:EAST BLUE HILL
Mailing Address - State:ME
Mailing Address - Zip Code:04629
Mailing Address - Country:US
Mailing Address - Phone:207-374-5768
Mailing Address - Fax:
Practice Address - Street 1:41 CURTIS COVE ROAD
Practice Address - Street 2:
Practice Address - City:EAST BLUE HILL
Practice Address - State:ME
Practice Address - Zip Code:04629
Practice Address - Country:US
Practice Address - Phone:207-374-5768
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-10
Last Update Date:2012-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEAC230171100000X
NY000356171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist