Lacoste, Clement Emery
Lacoste, Clement Emery is an individual health care provider with primary practice located at 10 N Main St , Charlton MA 01507-1590. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Lacoste, Clement Emery can be contacted via phone (508) 248-6780.Contact Information
Primary practice address
10 N Main St
Charlton MA 01507-1590
Phone: (508) 248-6780
Fax: (508) 248-8134
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 26014 | Massachusetts |
Profile Details
| NPI number | 1508877630 |
|---|---|
| LBN Legal business name | Lacoste, Clement Emery |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Aug 23rd, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508877630 | NPPES |
| Massachusetts | MEDICAID | 2087863 |
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