Healthcare Provider Details

I. General information

NPI: 1801933791
Provider Name (Legal Business Name): JOSEPH P LAROCHELLE OD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 12/15/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 N STATE ST
CONCORD NH
03301-4038
US

IV. Provider business mailing address

8 N STATE ST
CONCORD NH
03301-4038
US

V. Phone/Fax

Practice location:
  • Phone: 603-225-2512
  • Fax: 603-225-3249
Mailing address:
  • Phone: 603-225-2512
  • Fax: 603-225-3249

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number0362
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: