Individual
MRS. MELISSA LYNN LACOURSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1501 RIVERSIDE DR, SUITE 120, CHATTANOOGA, TN 37406-4309
(423) 634-3110
Mailing address
540 MCCALLIE AVE, CHATTANOOGA, TN 37402-2089
(423) 634-5824
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
138478
TN
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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