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Individual

AMY LACOUTURE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8562 JEFFERSON HWY STE A&B, BATON ROUGE, LA 70809-2022
(225) 227-2468
Mailing address
58 BAY VIEW ST UNIT 1, CAMDEN, ME 04843-2267
(979) 739-1724

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APO7692
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
CNP211510
ME

Other

Enumeration date
03/19/2014
Last updated
03/29/2022
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