Individual
RACHEL LACOURSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
115 CASS AVE, WOONSOCKET, RI 02895-4705
(401) 769-4100
Mailing address
16 LEAD MINE RD, SOUTHAMPTON, MA 01073-9463
(413) 209-2342
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00650
—
Other
Enumeration date
07/14/2012
Last updated
07/14/2012
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