Search › Indiana › 2080P0203X
Mary Lacoursiere, DO
NPI 1659864387 · on the registry since 2018
Practice
- Address
- 615 N Michigan St 5th Fl
South Bend, IN 46601 - Phone
- (574) 647-7275
- Fax
- (574) 647-3696
- Organisation at this address
- Beacon Medical Group, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 2080P0203X
2080P0203X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-08-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana