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Individual

MICHELLE LYNN LACOUTURE

Active
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Individual

MICHELLE LYNN LACOUTURE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP, PMHNP-BC

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
132648
IA
163W00000X
Registered Nurse
41420485
IL
163W00000X
Registered Nurse
60941765
WA
163W00000X
Registered Nurse
93013
HI
163W00000X
Registered Nurse
95164367
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G169727
IA

Other

Enumeration date
04/05/2022
Last updated
10/05/2023
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