Laque, Mark William

Laque, Mark William is an sole proprietor health care provider with primary practice located at 2949 Erie Blvd E Suite 103, Syracuse NY 13224-1442. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Laque, Mark William can be contacted via phone (315) 425-8028.

Contact Information

Primary practice address
2949 Erie Blvd E Suite 103 Syracuse NY 13224-1442
Phone: (315) 425-8028
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 044450 New York

Profile Details

NPI number 1275651754
LBN Legal business name Laque, Mark William
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 26th, 2007
Last updated Feb 21st, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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