Individual
MS. CAROLYN LACOURSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7866 HIDALE DR, PINCKNEY, MI 48169-9239
(810) 824-8995
Mailing address
PO BOX 690, HAMBURG, MI 48139-0690
(810) 824-8995
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
4704151640
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30001452
—
MI
Enumeration date
05/04/2006
Last updated
10/02/2007
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