Mr Larry Lacross, LLMSW | |
154 S Ripley Blvd, Alpena, MI 49707-3406 | |
(989) 356-6385 | |
Not Available |
Full Name | Mr Larry Lacross |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 154 S Ripley Blvd, Alpena, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245475417 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801090780 (Michigan) | Primary |
Entity Name | Catholic Human Services, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497716047 PECOS PAC ID: 4880586494 Enrollment ID: O20040329000192 |
Entity Name | Thunder Bay Community Health Service Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629107552 PECOS PAC ID: 0143296772 Enrollment ID: O20040907000045 |
Mailing Address | Practice Location Address |
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Mr Larry Lacross, LLMSW 154 S Ripley Blvd, Alpena, MI 49707-3406 Ph: (989) 356-6385 | Mr Larry Lacross, LLMSW 154 S Ripley Blvd, Alpena, MI 49707-3406 Ph: (989) 356-6385 |
Patty Dichtel, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 318 W Fletcher St, Alpena, MI 49707 Phone: 989-884-1165 | |
Gary L Knudson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1501 W Chisholm St, Alpena, MI 49707 Phone: 989-356-7390 Fax: 989-356-8013 | |
Amy J Fitzpatrick, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 180 N State Ave, Alpena, MI 49707 Phone: 989-497-2500 | |
Mikayla Elizabeth Paquette, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 Johnson St, Alpena, MI 49707 Phone: 989-358-7789 | |
Patrick Mullen, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 Johnson St, Alpena, MI 49707 Phone: 989-356-2161 Fax: 989-354-5898 | |
Vincent J Call, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 112 S 1st Ave, Alpena, MI 49707 Phone: 989-358-9393 | |
Renee Luise Diener, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 150 S Ripley Blvd, Alpena, MI 49707 Phone: 989-884-0066 |