Provider Demographics
NPI:1083418149
Name:LAROCHELLE, LUKE MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:LUKE
Middle Name:MICHAEL
Last Name:LAROCHELLE
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 CHARLOTTE ST
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29403-6330
Mailing Address - Country:US
Mailing Address - Phone:843-455-1520
Mailing Address - Fax:
Practice Address - Street 1:28 CHARLOTTE ST
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29403-6330
Practice Address - Country:US
Practice Address - Phone:843-455-1520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program