Ouellette, Lucien R.

Ouellette, Lucien R. is an individual health care provider with primary practice located at 1423 B South Main Street , Farmville VA 23901-2531. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Ouellette, Lucien R. can be contacted via phone (434) 207-5170.

Contact Information

Primary practice address
1423 B South Main Street Farmville VA 23901-2531
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2080S0010X MD16785 Maine
Allopathic & Osteopathic Physicians / Sports Medicine 2080S0010X 0101058044 Virginia

Profile Details

NPI number 1114952991
LBN Legal business name Ouellette, Lucien R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Aug 4th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114952991 NPPES
Maine MEDICAID 1114952991

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