Individual
REBECCA LACOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
15329 CANTERBURY LN, GRAND HAVEN, MI 49417-8348
(616) 644-6712
Mailing address
15329 CANTERBURY LN, GRAND HAVEN, MI 49417-8348
(616) 644-6712
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704300450
MI
Other
Enumeration date
12/07/2022
Last updated
12/07/2022
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