Individual
C JEANNE LACOUTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
88 MCGREGOR ST, STE 303, MANCHESTER, NH 03102-3734
(603) 647-9325
(603) 647-2453
Mailing address
88 MCGREGOR ST, STE 303, MANCHESTER, NH 03102-3734
(603) 647-9325
(603) 647-2453
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
028194-23-11
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028194-21
REGISTERED NURSE LICENSE
NH
01
—
028194-23-11
ARNP - CRNA LICENSE
NH
Enumeration date
08/16/2005
Last updated
06/02/2016
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