Provider Demographics
NPI:1457131849
Name:LAFLAMME, CORY ADAM
Entity Type:Individual
Prefix:
First Name:CORY
Middle Name:ADAM
Last Name:LAFLAMME
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 LOUDON RD UNIT 518
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-6078
Mailing Address - Country:US
Mailing Address - Phone:603-219-3749
Mailing Address - Fax:
Practice Address - Street 1:203 LOUDON RD UNIT 518
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-6078
Practice Address - Country:US
Practice Address - Phone:603-219-3749
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-03
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program