Provider Demographics
NPI:1306924782
Name:LAFRANCE, GILBERT OVILA JR (DC)
Entity type:Individual
Prefix:
First Name:GILBERT
Middle Name:OVILA
Last Name:LAFRANCE
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ONE RECOVERY ROAD
Mailing Address - Street 2:
Mailing Address - City:WARTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02571
Mailing Address - Country:US
Mailing Address - Phone:508-295-1173
Mailing Address - Fax:508-295-1351
Practice Address - Street 1:ONE RECOVERY ROAD
Practice Address - Street 2:
Practice Address - City:WARTHAM
Practice Address - State:MA
Practice Address - Zip Code:02571
Practice Address - Country:US
Practice Address - Phone:508-295-1173
Practice Address - Fax:508-295-1351
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2016-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1552111N00000X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA790719OtherTUFTS
MA34366OtherHARVARD PILGRIM
MAY36078Medicare ID - Type Unspecified
LAY36078Medicare ID - Type Unspecified