Laurie A Lacoursiere, RD | |
555 S 108th St, West Allis, WI 53214-1100 | |
(414) 566-6400 | |
(414) 566-3866 |
Full Name | Laurie A Lacoursiere |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 555 S 108th St, West Allis, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1932378999 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 3831 (Wisconsin) | Primary |
Provider Name | Prohealth Medical Group Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1356322440 PECOS PAC ID: 3476465188 Enrollment ID: O20031103000066 |
Mailing Address | Practice Location Address |
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Laurie A Lacoursiere, RD 555 S 108th St, West Allis, WI 53214-1100 Ph: (414) 566-6400 | Laurie A Lacoursiere, RD 555 S 108th St, West Allis, WI 53214-1100 Ph: (414) 566-6400 |
Chelsea M Tauer, RDN, CD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 2400 S 90th St, Mob #112, West Allis, WI 53227 Phone: 414-328-7314 Fax: 414-328-6210 | |
Patrick Welscher, R.D., C.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227 Phone: 414-328-7334 | |
Jody Montgomery, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227 Phone: 414-328-7351 | |
Mischel Marie Marshall, R.D. Dietitian Medicare: Medicare Enrolled Practice Location: 2400 S 90th St, West Allis, WI 53227 Phone: 414-328-6214 | |
Rebekah Genich, RD Dietitian Medicare: Medicare Enrolled Practice Location: 2400 S 90th St, West Allis, WI 53227 Phone: 414-328-6210 | |
Sandy Sell, MNT Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227 Phone: 414-328-6214 | |
Commonwealth Medical Group, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 851 S 70th St, Suite 101, West Allis, WI 53214 Phone: 414-777-5100 Fax: 414-777-5112 |