1073408258 NPI number — ROSE CATHERINE LACOUTURE L.AC.

Table of content: ROSE CATHERINE LACOUTURE L.AC. (NPI 1073408258)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073408258 NPI number — ROSE CATHERINE LACOUTURE L.AC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LACOUTURE
Provider First Name:
ROSE
Provider Middle Name:
CATHERINE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
L.AC.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
LACOUTURE
Provider Other First Name:
ROSE
Provider Other Middle Name:
CATHERINE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
L.AC.
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1073408258
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/10/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
19 FOLSOM ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DOVER
Provider Business Mailing Address State Name:
NH
Provider Business Mailing Address Postal Code:
03820-3600
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
207-219-3013
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
14 CHESTNUT ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DOVER
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03820-2911
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-686-8069
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/10/2025

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 171100000X , with the licence number:  363 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com