SearchNew York163WA0400X

Lacey Lacourse

NPI 1881433225 · on the registry since 2024

Practice

Address
50 Montcalm St
Ticonderoga, NY 12883
Phone
(518) 585-7934
Fax
(518) 585-9132
Clinicians at this address
4

Registry record

Primary taxonomy
163WA0400X
163WA0400X
Also registered as
163WA2000X
163WG0600X
163WH1000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-05-24

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 New York