Provider Demographics
NPI:1437128923
Name:LACHANCE, SUZANNE CHRISTINE (ATC, CSCS)
Entity type:Individual
Prefix:MS
First Name:SUZANNE
Middle Name:CHRISTINE
Last Name:LACHANCE
Suffix:
Gender:F
Credentials:ATC, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1937 SPRUCE LN
Mailing Address - Street 2:
Mailing Address - City:SUPERIOR TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48198-9508
Mailing Address - Country:US
Mailing Address - Phone:734-482-1875
Mailing Address - Fax:
Practice Address - Street 1:2121 OAK VALLEY DR
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-8901
Practice Address - Country:US
Practice Address - Phone:734-998-8600
Practice Address - Fax:734-998-8599
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer