Healthcare Provider Details

I. General information

NPI: 1366361495
Provider Name (Legal Business Name): MR. MARK LAPLANTE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 CROWN POINT CIR
GRASS VALLEY CA
95945-9534
US

IV. Provider business mailing address

PO BOX 2185
PENN VALLEY CA
95946-2185
US

V. Phone/Fax

Practice location:
  • Phone: 530-273-5440
  • Fax: 530-273-5479
Mailing address:
  • Phone: 530-270-9341
  • Fax: 530-273-5479

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: