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NPI Code Detail

MEDICARE: TERRANCE LAMARQUE

MEDICARE:   TERRANCE  LAMARQUE
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
1376K00000XNurse's AideMI000007629MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1824066361OTHERHOME CARE

General Provider Information

NPI Number : 1225536634
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERRANCE LAMARQUE
Provider Business Mailing Address
First Line : 20046 WASHBURN ST
Second Line :
City : DETROIT
State : MI
Zip : 48221-1020
Country : US
Telephone Number : 313-258-6847
Fax Number :
Provider Business Practice Location Address
First Line : 20046 WASHBURN ST
Second Line :
City : DETROIT
State : MI
Zip : 48221-1020
Country : US
Telephone Number : 313-258-6847
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2018
Last Update Date : 01/31/2018

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Directions to “ TERRANCE LAMARQUE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.