Individual
HENRY NEIL LACOURSIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1625 W STATE ST STE 100, BOISE, ID 83702-4003
(208) 336-0017
Mailing address
1625 W STATE ST STE 100, BOISE, ID 83702-4003
(208) 336-0017
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-2392
ID
Other
Enumeration date
01/22/2024
Last updated
03/20/2024
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