Provider Demographics
NPI:1023348588
Name:LACHANCE, JENIFER CHAIRITINE
Entity type:Individual
Prefix:
First Name:JENIFER
Middle Name:CHAIRITINE
Last Name:LACHANCE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8050 PIONEER DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99504-4746
Mailing Address - Country:US
Mailing Address - Phone:907-720-9723
Mailing Address - Fax:907-929-5766
Practice Address - Street 1:8050 PIONEER DR
Practice Address - Street 2:SUITE 201
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99504-4746
Practice Address - Country:US
Practice Address - Phone:907-720-9723
Practice Address - Fax:907-929-5766
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-06
Last Update Date:2010-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management