Individual
HELENE LACOSTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
26850 PROVIDENCE PARKWAY, SUITE 500, NOVI, MI 48374
(248) 662-4388
(248) 662-3025
Mailing address
26850 PROVIDENCE PARKWAY, SUITE 500, NOVI, MI 48374
(248) 662-4388
(248) 662-3025
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301051294
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102492
CARECHOICES
MI
05
—
104457308-10
—
MI
01
—
146471
GLHP
MI
01
—
1606316561
BLUE CROSS INDIVIDUAL
MI
01
—
160H22100
BLUE CROSS GROUP
MI
01
—
4558937
AETNA
MI
01
—
C6209
MCARE
MI
Enumeration date
09/13/2005
Last updated
04/10/2013
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