Provider Demographics
NPI:1700113578
Name:LAMARCHE, REBECCA ANN (DC)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:ANN
Last Name:LAMARCHE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:REBECCA
Other - Middle Name:ANN
Other - Last Name:BRANSCOM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:3925 75TH ST
Mailing Address - Street 2:105
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60504-8000
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2659 DUNRAVEN AVE
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-1914
Practice Address - Country:US
Practice Address - Phone:630-248-5699
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-15
Last Update Date:2011-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038011472111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor