Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ETHAN J LACOURT, PA-C
ActiveMR. ETHAN J LACOURT, PA-C is a Physician Assistant healthcare provider located in GRAND RAPIDS, Michigan. NPI 1003434507 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1003434507
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 10, 2020 (6.1194970210096 yrs)
- Last Updated
- Dec 10, 2024
- License
-
5601010844 (MI)
Practice Information
- Address
-
275 MICHIGAN ST NEGRAND RAPIDS, MI, 495032531Browse MI providers · Browse ZIP 49503
- Phone
- 6162677900
- Fax
- 6162677901
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| MRS. JACQUELINE S JOHANSON | P.A.-C | 1952304982 |
| RENEE K SALYER | P.A-C | 1760481386 |
| MR. JOHN C HENDRICKS | PA-C | 1992705610 |
| CHERYL ANN SCHMITT | PA-C | 1851391031 |
| LARA ELIZABETH EVANS | PA-C | 1356343933 |
| BENJAMIN P LOYD | PA-C | 1174515167 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.