Individual
CHARLENE MARIE LACOSTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(855) 988-2273
Mailing address
2247 STATE ROUTE 18, ALIQUIPPA, PA 15001-9761
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/28/2019
Last updated
04/24/2025
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