Individual
JOHN EDWIN LACOUTURE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
330 BILLINGSLEY RD, SUITE 103, CHARLOTTE, NC 28211-5055
(704) 369-0437
(704) 369-0440
Mailing address
330 BILLINGSLEY RD, SUITE 103, CHARLOTTE, NC 28211-5055
(704) 369-0437
(704) 369-0440
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
22934
NC
Other
Enumeration date
08/09/2005
Last updated
03/07/2016
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