Individual
DR. JOHN ANTHONY LACOSTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 CAMP OPECHEE RD, CENTERVILLE, MA 02632-2433
(508) 778-2882
(508) 534-9621
Mailing address
PO BOX 355, CENTERVILLE, MA 02632
(508) 778-2882
(508) 534-9621
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
1302
MA
Other
Enumeration date
08/02/2006
Last updated
01/24/2019
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