Organization
MIMI LACOUTURE PLLC
Active
Parent organization
MIMI LACOUTURE PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIMI LACOUTURE PLLC
Authorized official
MICHELLE LACOUTURE ARNP (PMHNP)
(563) 340-8470
Entity
Organization
Contact information
Practice address
1225 E RIVER DR STE 205, DAVENPORT, IA 52803-5752
(563) 340-8470
(563) 202-7303
Mailing address
PO BOX B, PLEASANT VALLEY, IA 52767-0401
(563) 340-8470
(563) 202-7303
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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