Healthcare Provider Details

I. General information

NPI: 1902722929
Provider Name (Legal Business Name): FABIANIZ LAMARCHE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 UNION ST
LAWRENCE MA
01840-1866
US

IV. Provider business mailing address

37 BYRON AVE
LAWRENCE MA
01841-4130
US

V. Phone/Fax

Practice location:
  • Phone: 978-682-7289
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLCSW2143894
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: