Individual
CATHERINE L LACOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3420 E SHEA BLVD STE 200, PHOENIX, AZ 85028
(480) 977-6000
(248) 269-0631
Mailing address
3420 E SHEA BLVD STE 200, PHOENIX, AZ 85028-3348
(480) 977-6000
(248) 269-0631
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34506
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
957970
—
AZ
Enumeration date
07/07/2006
Last updated
09/12/2019
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