Provider Demographics
NPI:1194968503
Name:MICHAEL R LAMARCHE DO PA
Entity type:Organization
Organization Name:MICHAEL R LAMARCHE DO PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:LAMARCHE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:352-726-2205
Mailing Address - Street 1:PO BOX 339
Mailing Address - Street 2:
Mailing Address - City:INVERNESS
Mailing Address - State:FL
Mailing Address - Zip Code:34451-0339
Mailing Address - Country:US
Mailing Address - Phone:352-726-2205
Mailing Address - Fax:
Practice Address - Street 1:9780 E BAYMEADOWS DR
Practice Address - Street 2:
Practice Address - City:INVERNESS
Practice Address - State:FL
Practice Address - Zip Code:34450-6258
Practice Address - Country:US
Practice Address - Phone:352-726-2205
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-15
Last Update Date:2009-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS6105282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital