Provider Demographics
NPI:1992766513
Name:LAMARCHE, MICHELE GAIL-MARIE (LAC, MTOM, ACN, NB)
Entity type:Individual
Prefix:MS
First Name:MICHELE
Middle Name:GAIL-MARIE
Last Name:LAMARCHE
Suffix:
Gender:F
Credentials:LAC, MTOM, ACN, NB
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:11340 OLYMPIC BOULEVARD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90064
Mailing Address - Country:US
Mailing Address - Phone:310-422-1692
Mailing Address - Fax:310-390-7836
Practice Address - Street 1:11340 OLYMPIC BOULEVARD
Practice Address - Street 2:SUITE 301
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90064
Practice Address - Country:US
Practice Address - Phone:310-422-1692
Practice Address - Fax:310-622-4188
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-31
Last Update Date:2014-03-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAAC8294171100000X
CA133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No133N00000XDietary & Nutritional Service ProvidersNutritionist