Individual
MYA ANN LACOURSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 5TH ST, MARIETTA, OH 45750-4033
(740) 376-4953
Mailing address
215 5TH ST, MARIETTA, OH 45750-4033
(740) 376-4458
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/11/2024
Last updated
08/20/2024
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