BENJAMIN ALAN LACOURSIERE

MILWAUKEE, WI
NPI1144628033
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WI  3472-23)
Enumeration Date2014-12-09
Last Update Date2024-01-15
Business Address
BENJAMIN ALAN LACOURSIERE PA-C
2901 W KINNICKINNIC RIVER PKWY
MILWAUKEE, WI 53215-3677
Phone number: 414-649-3750
Mailing Address
BENJAMIN ALAN LACOURSIERE PA-C
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number: 800-326-2250