Individual
SHEREE SMITH LACOSTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1620 N MCKENZIE ST, FOLEY, AL 36535-2248
(251) 501-2240
(251) 545-4254
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1-051515
AL
Other
Enumeration date
01/09/2013
Last updated
12/04/2023
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