Mr Ethan J Lacourt, PA-C | |
25 Michigan St Ne Ste 6100, Grand Rapids, MI 49503-2561 | |
(616) 267-7900 | |
Not Available |
Full Name | Mr Ethan J Lacourt |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Experience | 3 Years |
Location | 25 Michigan St Ne Ste 6100, Grand Rapids, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003434507 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 5601010844 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Spectrum Health | Grand rapids, MI | Hospital |
Spectrum Health Big Rapids Hospital | Big rapids, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Spectrum Health Primary Care Partners | 4587568647 | 1590 |
Mailing Address | Practice Location Address |
---|---|
Mr Ethan J Lacourt, PA-C 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 Ph: () - | Mr Ethan J Lacourt, PA-C 25 Michigan St Ne Ste 6100, Grand Rapids, MI 49503-2561 Ph: (616) 267-7900 |
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