Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0401X | Internist - Addiction Medicine | 138878 | MA |
NPI | 1306898788 |
---|---|
Provider Name | Julie A L'heureux |
First Address | Chicopee, MA 01020-4504 |
Second Address | West Springfield, MA 01089 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2006 |
Last Update Date | 07/06/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
NP4783 | BLUE CROSS (01) | MA |
Q26581 | (02) | MA |