Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | OS15507 | FL |
NPI | 1225468085 |
---|---|
Provider Name | Dr. Marsha Lachaud |
First Address | Far Rockaway, NY 11691-4423 |
Second Address | Jacksonville, FL 32216-4256 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2013 |
Last Update Date | 11/02/2020 |