IndividualActive
Lucien Ouellette, M.D.
NPI 1114952991 · Pediatric Sports Medicine Physician · Farmville, VA
Provider details
- NPI number
- 1114952991
- Entity type
- Individual
- Primary specialty
- Pediatric Sports Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD16785 (ME)
Practice location
1409 S Main Street
Farmville, VA 23901-2531
Phone: (434) 207-5170
Fax: (434) 485-8599
Mailing address
P. O. Box 715868
Philadelphia, PA 19171-5868
Registry dates
- Enumerated
- 2006-07-11
- Last updated
- 2025-02-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.