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NPI Code Detail

MEDICARE: LINDA CAROL LACHANCE M.D.

MEDICARE:   LINDA CAROL LACHANCE  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician4301054305MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21100710810OTHERBCBS

General Provider Information

NPI Number : 1104825504
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA CAROL LACHANCE M.D.
Provider Business Mailing Address
First Line : 8833 HIDDEN LAKE DR
Second Line :
City : HOWELL
State : MI
Zip : 48855-9212
Country : US
Telephone Number : 810-355-6883
Fax Number :
Provider Business Practice Location Address
First Line : 8833 HIDDEN LAKE DR
Second Line :
City : HOWELL
State : MI
Zip : 48855-9212
Country : US
Telephone Number : 810-355-6883
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2005
Last Update Date : 03/12/2026

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Directions to “ LINDA CAROL LACHANCE M.D.” Practice Location

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