| Laberge Family Practice Pllc | |
|
2352 Hiddenview Ln Williamston MI 48895-9584 | |
| (517) 290-7749 | |
| Not Available |
| Full Name | Laberge Family Practice Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2352 Hiddenview Ln, Williamston, Michigan |
| Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laberge Family Practice Pllc Po Box 10 Mason MI 48854-0010 Ph: (517) 676-9788 | Laberge Family Practice Pllc 2352 Hiddenview Ln Williamston MI 48895-9584 Ph: (517) 290-7749 |
| NPI Number | 1770846164 |
|---|---|
| Provider Enumeration Date | 06/20/2012 |
| Last Update Date | 10/23/2024 |
| Medicare PECOS PAC ID | 0143477414 |
|---|---|
| Medicare Enrollment ID | O20120822000376 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770846164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101010011 (Michigan) | Primary |
| Provider Name | James P Laberge |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1790772424 PECOS PAC ID: 2062318553 Enrollment ID: I20031208000194 |
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