Healthcare Provider Details

I. General information

NPI: 1326132994
Provider Name (Legal Business Name): MICHAEL CLARENCE LAFRANCOIS EMTC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

166 MISHNOCK ROAD
WEST GREENWICH RI
02817
US

IV. Provider business mailing address

777 RESERVOIR ROAD
PASCOAG RI
02859
US

V. Phone/Fax

Practice location:
  • Phone: 401-397-7353
  • Fax:
Mailing address:
  • Phone: 401-568-5976
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146M00000X
TaxonomyIntermediate Emergency Medical Technician
License Number9571
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: