| Doctor Name: | MS. CAROLYN LACOURSE |
| NPI Number: | 1518915578 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 4704151640 |
| Business Practice Address: | 7866 Hidale Dr Pinckney, MI - 481699239 |
| Business Phone Number: | 8108248995 |
| Business Fax Number: | |
| Mailing Address: | Po Box 690, HAMBURG |
| State: | MI |
| Postal Code: | 481390690 |
| Phone Number: | 8108248995 |
| Fax Number: | |
| NPI Enumeration Date: | 05/04/2006 |
| NPI Last Update Date: | 10/02/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0200X |
| License Number: | 4704151640 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |