Individual
DR. LEE ALLEN COUSINEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2625 WILLAMETTE DR NE, LACEY, WA 98516-1312
(360) 412-3255
(360) 456-6008
Mailing address
5421 PENINSULA DR SE, OLYMPIA, WA 98513-9229
(360) 456-6418
(360) 456-6008
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
876
WA
Other
Enumeration date
06/07/2011
Last updated
06/07/2011
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