Provider Demographics
NPI:1700950177
Name:LAFRANCE, MARTIN (OD)
Entity Type:Individual
Prefix:
First Name:MARTIN
Middle Name:
Last Name:LAFRANCE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:244 CHADWICK LN
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:AL
Mailing Address - Zip Code:35080-3136
Mailing Address - Country:US
Mailing Address - Phone:205-821-2325
Mailing Address - Fax:
Practice Address - Street 1:244 CHADWICK LN
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:AL
Practice Address - Zip Code:35080-3136
Practice Address - Country:US
Practice Address - Phone:205-821-2325
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5416TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist