Provider Demographics
NPI:1104276450
Name:LACASSE, CHELSEA MAY (RPH)
Entity type:Individual
Prefix:DR
First Name:CHELSEA
Middle Name:MAY
Last Name:LACASSE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:157 LOUDON RD
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-5610
Mailing Address - Country:US
Mailing Address - Phone:603-225-0793
Mailing Address - Fax:603-225-0824
Practice Address - Street 1:157 LOUDON RD
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-5610
Practice Address - Country:US
Practice Address - Phone:603-225-0793
Practice Address - Fax:603-225-0824
Is Sole Proprietor?:No
Enumeration Date:2016-06-17
Last Update Date:2016-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3877183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist