Marc Conrad Laquerre, PH.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

756 Issued in NH

Practice address

120 Main St
Suite 103
Nashua, NH 03060-2707

Phone

(603) 345-3786

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376567552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MAIN ST",
            "address_2": "SUITE 103",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030602707",
            "telephone_number": "603-345-3786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MAIN ST",
            "address_2": "SUITE 103",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030602707",
            "telephone_number": "603-345-3786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAQUERRE",
        "first_name": "MARC",
        "middle_name": "CONRAD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NH",
            "license": "756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30420513",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronald Fred Lanzara Sr., DC
• Brielle Jo Lapiana, M.ED
• James A Lapointe II, PA-C
• Shara A Lapointe, P.A.
• Paige Laprise, OT
• Katelyn Largy, PT. DPT
• Diane Larochelle, MS
• Taylor Larsen, M.S. CCC-SLP
• Hanna Rae Lashmett, PA-C
• Rachael Thompson Lashua, PA-C

• Clinical Child & Adolescent Psychologist in Nashua, NH
• Providers in Nashua, NH by specialty
• Clinical Child & Adolescent Psychologist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.