Joleen Lamarche, RDH

Individual provider Active NPI Dental Hygienist · Stanley, WI

NPI 1285036764 · NPPES record last updated Sep 16, 2014

Key facts

NPI
1285036764
Entity type
Individual (NPI type 1)
Primary specialty
Dental Hygienist 124Q00000X
License
6846-16 (WI)
Practice address
35717 50TH Ave
Stanley, WI 54768-6161
Phone
(715) 644-0674
NPI assigned
Sep 16, 2014
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
6846-16WIMDDental Hygienist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 6846-16 WI Yes

Addresses

Primary practice location

35717 50TH Ave
Stanley, WI 54768-6161

Mailing address

35717 50TH Ave
Stanley, WI 54768-6161
Phone (715) 644-0674

Other identifiers

IdentifierTypeStateIssuer
JOLEEN LAMARCHEMedicaidWI

Other providers in Stanley, WI

All providers in Stanley, WI · Dental Hygienist in Wisconsin

Sources for this page

Verify at the official NPI Registry.