Individual
DEANNA LACOSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
850 WEST BARAGA AVENUE SUITE 30, MARQUETTE, MI 49855
(906) 225-3914
(906) 225-4583
Mailing address
850 WEST BARAGA AVENUE SUITE 30, MARQUETTE, MI 49855
(906) 225-3914
(906) 225-4583
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704249023
MI
Other
Enumeration date
07/25/2017
Last updated
07/31/2019
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