Provider Demographics
NPI:1740435155
Name:LAMARRE, LUCIEN JR
Entity type:Individual
Prefix:MR
First Name:LUCIEN
Middle Name:
Last Name:LAMARRE
Suffix:JR
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 1:70 PLATT ST
Mailing Address - Street 2:
Mailing Address - City:ANSONIA
Mailing Address - State:CT
Mailing Address - Zip Code:06401-3241
Mailing Address - Country:US
Mailing Address - Phone:203-889-1808
Mailing Address - Fax:203-930-6632
Practice Address - Street 1:70 PLATT ST 1 FL
Practice Address - Street 2:
Practice Address - City:ANSONIA
Practice Address - State:CT
Practice Address - Zip Code:06401-3241
Practice Address - Country:US
Practice Address - Phone:203-889-1808
Practice Address - Fax:203-930-6632
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-26
Last Update Date:2009-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTHCA.0000322171W00000X, 172A00000X, 172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor
No172A00000XOther Service ProvidersDriver
No172V00000XOther Service ProvidersCommunity Health Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTHCA.OOOO322OtherHOMEMAKER-COMPANION AGENCY