Organization
NORTHERN SPORTS AND FAMILY CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN MICHAEL LACOURT DC (OWNER)
(906) 353-8010
Entity
Organization
Contact information
Practice address
13418 US HIGHWAY 41, BARAGA, MI 49908-9063
(906) 353-8010
(906) 353-8011
Mailing address
13418 US HIGHWAY 41, BARAGA, MI 49908-9063
(906) 353-8010
(906) 353-8011
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
09/05/2013
Last updated
09/05/2013
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