Provider Demographics
NPI:1730521246
Name:LAROCHE, LUCIEN (MED)
Entity type:Individual
Prefix:MS
First Name:LUCIEN
Middle Name:
Last Name:LAROCHE
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 OYSTER BAY CIR
Mailing Address - Street 2:APT. 250
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701-8085
Mailing Address - Country:US
Mailing Address - Phone:321-277-7751
Mailing Address - Fax:
Practice Address - Street 1:133 OYSTER BAY CIR
Practice Address - Street 2:APT. 250
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-8085
Practice Address - Country:US
Practice Address - Phone:321-277-7751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-25
Last Update Date:2013-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health